Provider Demographics
NPI:1548555832
Name:STAPLETON, DEBORAH JANE (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JANE
Last Name:STAPLETON
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 1:2275 ZOAR RD
Mailing Address - Street 2:
Mailing Address - City:GOWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14070-9753
Mailing Address - Country:US
Mailing Address - Phone:716-352-5336
Mailing Address - Fax:
Practice Address - Street 1:2275 ZOAR RD
Practice Address - Street 2:
Practice Address - City:GOWANDA
Practice Address - State:NY
Practice Address - Zip Code:14070-9753
Practice Address - Country:US
Practice Address - Phone:716-352-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY367687-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse