Provider Demographics
NPI:1356717235
Name:LARBIE, DEBORAH DENSUA (FNP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:DENSUA
Last Name:LARBIE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:DENSUA
Other - Last Name:DODOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3129 INTERSTATE 30 STE H
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2788
Mailing Address - Country:US
Mailing Address - Phone:972-979-7408
Mailing Address - Fax:214-227-2410
Practice Address - Street 1:3334 BROADWAY BLVD STE 422
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1575
Practice Address - Country:US
Practice Address - Phone:972-979-7408
Practice Address - Fax:972-587-6733
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128811363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP128811OtherAPRN LICENSE NO