Provider Demographics
NPI:1982633111
Name:GUTSHALL, DEBORAH JEAN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JEAN
Last Name:GUTSHALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-812-3499
Practice Address - Street 1:1101 EDGAR ST
Practice Address - Street 2:SUITE E
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2862
Practice Address - Country:US
Practice Address - Phone:717-812-4602
Practice Address - Fax:717-812-3499
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATP003883G363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102278OtherJOHNS HOPKINS
PA1551152OtherGATEWAY-YH
MD647489OtherCAREFIRST MD BCBS
PA50053262OtherCAPITAL BLUE CROSS-YH
PA50053262OtherCAPITAL BLUE CROSS-YH
PA1551152OtherGATEWAY-YH