Provider Demographics
NPI:1285634279
Name:UDEN, DEBRA MARIE ZOBEL (ARNP, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:MARIE ZOBEL
Last Name:UDEN
Suffix:
Gender:F
Credentials:ARNP, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 ASHLYND DR
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-9704
Mailing Address - Country:US
Mailing Address - Phone:319-338-7042
Mailing Address - Fax:
Practice Address - Street 1:2001 ASHLYND DR
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-9704
Practice Address - Country:US
Practice Address - Phone:319-338-7042
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC092639363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics