Provider Demographics
NPI:1174500508
Name:ORMAN, DEBORAH LYNNE (RN, MS, CNS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNNE
Last Name:ORMAN
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Gender:F
Credentials:RN, MS, CNS
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2550 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 229N
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1052
Mailing Address - Country:US
Mailing Address - Phone:651-645-3115
Mailing Address - Fax:651-645-2752
Practice Address - Street 1:2550 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 229N
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1052
Practice Address - Country:US
Practice Address - Phone:651-645-3115
Practice Address - Fax:651-645-2752
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2022-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR1200524364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN028555200Medicaid
MN298540ROtherBCBS OF MN
MN028555200Medicaid
P03889Medicare UPIN