Provider Demographics
NPI:1235493297
Name:BELCHER, DEBORAH S (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:BELCHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 E BELL RD
Mailing Address - Street 2:STE 172
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9385
Mailing Address - Country:US
Mailing Address - Phone:520-219-8690
Mailing Address - Fax:520-219-8694
Practice Address - Street 1:4550 E BELL RD
Practice Address - Street 2:STE 172
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9385
Practice Address - Country:US
Practice Address - Phone:520-219-8690
Practice Address - Fax:520-219-8694
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN076277163W00000X
AZAP4538363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse