Provider Demographics
NPI:1083831028
Name:WARREN, DEBORAH COLLEEN (ARNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:COLLEEN
Last Name:WARREN
Suffix:
Gender:F
Credentials:ARNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 AL HIGHWAY 146
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-5439
Mailing Address - Country:US
Mailing Address - Phone:256-587-6127
Mailing Address - Fax:
Practice Address - Street 1:150 DEBRA RD BLDG 6200
Practice Address - Street 2:EASTGATE CENTER
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5616
Practice Address - Country:US
Practice Address - Phone:423-893-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007698363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology