Provider Demographics
NPI:1528041282
Name:PINA-THOMAS, DEBORAH MARIA (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MARIA
Last Name:PINA-THOMAS
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:HHC 18TH MEDCOM
Mailing Address - Street 2:BOX 223
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205
Mailing Address - Country:KR
Mailing Address - Phone:822-796-4597
Mailing Address - Fax:
Practice Address - Street 1:HHC 121ST GENERAL HOSPITAL
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205
Practice Address - Country:KR
Practice Address - Phone:8227-917-5400
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA189653163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator