Provider Demographics
NPI:1962655829
Name:MINOR, DEBORAH ANN (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:MINOR
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:417 LIBERTY ST
Mailing Address - Street 2:SUITE 2120
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-1100
Mailing Address - Country:US
Mailing Address - Phone:315-536-5160
Mailing Address - Fax:315-536-5145
Practice Address - Street 1:417 LIBERTY ST
Practice Address - Street 2:SUITE 2120
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-1100
Practice Address - Country:US
Practice Address - Phone:315-536-5160
Practice Address - Fax:315-536-5145
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY350967-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health