Provider Demographics
NPI:1215728746
Name:BOBST, DEBBIE KAYE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:KAYE
Last Name:BOBST
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:KAY
Other - Last Name:BOBST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:941 CYPRESS WOOD LN
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-3083
Mailing Address - Country:US
Mailing Address - Phone:951-237-6052
Mailing Address - Fax:
Practice Address - Street 1:941 CYPRESS WOOD LN
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-3083
Practice Address - Country:US
Practice Address - Phone:951-237-6052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1671752171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator