Provider Demographics
NPI:1578721122
Name:LENT, DEBORAH SUZANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SUZANNE
Last Name:LENT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:SUZANNE
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:405 W 5TH ST
Mailing Address - Street 2:SUITE 522
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4519
Mailing Address - Country:US
Mailing Address - Phone:714-834-4535
Mailing Address - Fax:714-834-5486
Practice Address - Street 1:1030 W WARNER AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3147
Practice Address - Country:US
Practice Address - Phone:714-834-6915
Practice Address - Fax:714-850-1066
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA369649163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator