Provider Demographics
NPI:1104398585
Name:COX, DEBORAH (FMCHC, NBC-HWC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:FMCHC, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1272 MYERS DR
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-6164
Mailing Address - Country:US
Mailing Address - Phone:775-781-2409
Mailing Address - Fax:
Practice Address - Street 1:1272 MYERS DR
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-6164
Practice Address - Country:US
Practice Address - Phone:775-781-2409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator