Provider Demographics
NPI:1356418453
Name:ANGERSBACH, DEBORAH ANN (ND)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:ANGERSBACH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-3601
Mailing Address - Country:US
Mailing Address - Phone:707-840-0556
Mailing Address - Fax:707-840-9120
Practice Address - Street 1:1727 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-3601
Practice Address - Country:US
Practice Address - Phone:707-840-0556
Practice Address - Fax:707-840-9120
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND900175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath