Provider Demographics
NPI:1104358407
Name:DEBOE, JOSEPH CHARLES (DNP, ACNPC-AG, CCRN)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CHARLES
Last Name:DEBOE
Suffix:
Gender:M
Credentials:DNP, ACNPC-AG, CCRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3955 E FORT LOWELL RD
Mailing Address - Street 2:STE 113
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1041
Mailing Address - Country:US
Mailing Address - Phone:520-323-7277
Mailing Address - Fax:520-881-1968
Practice Address - Street 1:3955 E FORT LOWELL RD
Practice Address - Street 2:STE 113
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1041
Practice Address - Country:US
Practice Address - Phone:520-323-7277
Practice Address - Fax:520-881-1968
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP10864363LA2100X, 363LA2200X, 363LC0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine