Provider Demographics
NPI:1629195615
Name:ROBERTS, DEBORAH SUZANNE (RN,C)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SUZANNE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:RN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 GEER RD
Mailing Address - Street 2:SUITE120
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2454
Mailing Address - Country:US
Mailing Address - Phone:209-664-8044
Mailing Address - Fax:209-664-3036
Practice Address - Street 1:2101 GEER RD
Practice Address - Street 2:SUITE120
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2454
Practice Address - Country:US
Practice Address - Phone:209-664-8044
Practice Address - Fax:209-664-3036
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA495282163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health