Provider Demographics
NPI:1689948614
Name:ISAACS, DEBRA L (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:L
Last Name:ISAACS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2434 N 120TH DR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-3070
Mailing Address - Country:US
Mailing Address - Phone:623-695-5159
Mailing Address - Fax:
Practice Address - Street 1:2434 N 120TH DR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-3070
Practice Address - Country:US
Practice Address - Phone:623-695-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN106677163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine