Provider Demographics
NPI:1356499511
Name:REIBER, DEBORAH LOU (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LOU
Last Name:REIBER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 BIXBY RD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9732
Mailing Address - Country:US
Mailing Address - Phone:614-835-0921
Mailing Address - Fax:
Practice Address - Street 1:5333 BIXBY RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9732
Practice Address - Country:US
Practice Address - Phone:614-835-0921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 276728163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health