Provider Demographics
NPI:1518924570
Name:CRABILL, DEBORAH ANN (MNSC GNP ANP BS ARNP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ANN
Last Name:CRABILL
Suffix:
Gender:F
Credentials:MNSC GNP ANP BS ARNP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:CRABILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:15317 W SELLS DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-7707
Mailing Address - Country:US
Mailing Address - Phone:602-663-3596
Mailing Address - Fax:623-322-9257
Practice Address - Street 1:2025 N 3RD ST
Practice Address - Street 2:SUITE 170
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1471
Practice Address - Country:US
Practice Address - Phone:602-663-3596
Practice Address - Fax:602-462-1131
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3386312363LA2200X, 363LG0600X
ARA01290ANP363LG0600X
AZAP2966163WG0000X
AZAP2951163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ314110Medicaid
AZZ121890Medicare PIN
AZ314110Medicaid
S59553Medicare UPIN