Provider Demographics
NPI:1457621401
Name:BUMP-BROWN, DEBORAH D (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:D
Last Name:BUMP-BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CLEVELAND DR
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:NY
Mailing Address - Zip Code:14801-1324
Mailing Address - Country:US
Mailing Address - Phone:607-359-2261
Mailing Address - Fax:607-359-4507
Practice Address - Street 1:7 CLEVELAND DR.
Practice Address - Street 2:TUSCARORA ELEMENTARY SCHOOL
Practice Address - City:ADDISON
Practice Address - State:NY
Practice Address - Zip Code:14801
Practice Address - Country:US
Practice Address - Phone:607-359-2261
Practice Address - Fax:607-359-4507
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY423530-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse