Provider Demographics
NPI:1669675856
Name:BROWN, DEBORAH J (RNC, MSN, ARNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:RNC, MSN, ARNP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:WOLFGANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNC, MSN, ARNP
Mailing Address - Street 1:10460 ROOSEVELT BLVD N
Mailing Address - Street 2:135
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-3821
Mailing Address - Country:US
Mailing Address - Phone:727-945-2019
Mailing Address - Fax:
Practice Address - Street 1:10460 ROOSEVELT BLVD N
Practice Address - Street 2:135
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-3821
Practice Address - Country:US
Practice Address - Phone:727-945-2019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9249436163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory