Provider Demographics
NPI:1336867027
Name:HORNBACHER, DEBORAH J (BSN, RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:HORNBACHER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W 6TH ST UNIT 316-153
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-1626
Mailing Address - Country:US
Mailing Address - Phone:970-874-2190
Mailing Address - Fax:
Practice Address - Street 1:255 W 6TH ST UNIT 316-153
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-1626
Practice Address - Country:US
Practice Address - Phone:970-874-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO162551163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health