Provider Demographics
NPI:1144385634
Name:ANDERSON, DEBORAH BIRINGER (MS CPNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:BIRINGER
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MS CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26224 N TATUM BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-7500
Mailing Address - Country:US
Mailing Address - Phone:480-563-1111
Mailing Address - Fax:480-563-3044
Practice Address - Street 1:26224 N TATUM BLVD STE 1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-7500
Practice Address - Country:US
Practice Address - Phone:480-563-1111
Practice Address - Fax:480-563-3044
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN055817363LP0200X
AZAP2502363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics