Provider Demographics
NPI:1457490062
Name:DEAN, DEBORAH D (LPN)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:D
Last Name:DEAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7396 VILLAGE SQUARE DR APT 2827
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9395
Mailing Address - Country:US
Mailing Address - Phone:720-339-5233
Mailing Address - Fax:
Practice Address - Street 1:7396 VILLAGE SQUARE DR APT 2827
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-9395
Practice Address - Country:US
Practice Address - Phone:720-339-5233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker