Provider Demographics
NPI:1497955512
Name:DURBIN, DEANA MARIE (RM)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:MARIE
Last Name:DURBIN
Suffix:
Gender:F
Credentials:RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 HOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4717
Mailing Address - Country:US
Mailing Address - Phone:720-320-5270
Mailing Address - Fax:303-274-7992
Practice Address - Street 1:1045 HOLLAND ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4717
Practice Address - Country:US
Practice Address - Phone:720-320-5270
Practice Address - Fax:303-274-7992
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife