Provider Demographics
NPI:1952452435
Name:GULICK, DEBORAH LOU (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LOU
Last Name:GULICK
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 1:111 SPOOK HILL RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4308
Mailing Address - Country:US
Mailing Address - Phone:845-298-1495
Mailing Address - Fax:
Practice Address - Street 1:111 SPOOK HILL RD
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4308
Practice Address - Country:US
Practice Address - Phone:845-298-1495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278446-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse