Provider Demographics
NPI:1790907087
Name:STUEVE, DEBORAH LEE (RN, WOCN)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LEE
Last Name:STUEVE
Suffix:
Gender:F
Credentials:RN, WOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 SANTA FE AVE
Mailing Address - Street 2:PO BOX 55
Mailing Address - City:EMPIRE
Mailing Address - State:CA
Mailing Address - Zip Code:95319-0055
Mailing Address - Country:US
Mailing Address - Phone:209-527-2516
Mailing Address - Fax:
Practice Address - Street 1:1441 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351
Practice Address - Country:US
Practice Address - Phone:209-576-3851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA352655163WW0000X, 163WX1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WW0000XNursing Service ProvidersRegistered NurseWound Care
Not Answered163WX1500XNursing Service ProvidersRegistered NurseOstomy Care