Provider Demographics
NPI:1659741551
Name:RYE, DEBBI ROESSLER (NP-C)
Entity Type:Individual
Prefix:
First Name:DEBBI
Middle Name:ROESSLER
Last Name:RYE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:DEBBI
Other - Middle Name:KATHERINA
Other - Last Name:ROESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2804 REMINGTON GREEN CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-1550
Mailing Address - Country:US
Mailing Address - Phone:850-385-4494
Mailing Address - Fax:
Practice Address - Street 1:710 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MAYO
Practice Address - State:FL
Practice Address - Zip Code:32066-4127
Practice Address - Country:US
Practice Address - Phone:386-294-1226
Practice Address - Fax:386-294-4218
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA213272363L00000X
FLAPRN9318562363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner