Provider Demographics
NPI:1659902344
Name:DEVINE-BARTON, DEBORAH LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LYNN
Last Name:DEVINE-BARTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:LYNN
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:40 DUBOIS LN
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3214
Mailing Address - Country:US
Mailing Address - Phone:845-594-3196
Mailing Address - Fax:
Practice Address - Street 1:40 DUBOIS LN
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-3214
Practice Address - Country:US
Practice Address - Phone:845-594-3196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF402997-01363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health