Provider Demographics
NPI:1851727275
Name:BRACHMAN, DEBBIE LISA (FNP, MSN, RN)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:LISA
Last Name:BRACHMAN
Suffix:
Gender:F
Credentials:FNP, MSN, RN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:LISA
Other - Last Name:BRACHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP, MSN, RN
Mailing Address - Street 1:PO BOX 2447
Mailing Address - Street 2:
Mailing Address - City:ORCUTT
Mailing Address - State:CA
Mailing Address - Zip Code:93457-2447
Mailing Address - Country:US
Mailing Address - Phone:602-633-4069
Mailing Address - Fax:
Practice Address - Street 1:625 W SOUTHERN AVE STE E
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5018
Practice Address - Country:US
Practice Address - Phone:602-633-4069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171226163W00000X
CA766383163WC1500X, 163WP2201X
CA95000143363LF0000X
AZ224391363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily