Provider Demographics
NPI:1457886368
Name:FORCHT, DEBORAH JOYCE (ANP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JOYCE
Last Name:FORCHT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JOYCE
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:22525 URSA MAJOR CIR
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567-5337
Mailing Address - Country:US
Mailing Address - Phone:907-351-4945
Mailing Address - Fax:
Practice Address - Street 1:22525 URSA MAJOR CIRCLE
Practice Address - Street 2:
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567
Practice Address - Country:US
Practice Address - Phone:907-351-4945
Practice Address - Fax:907-729-2746
Is Sole Proprietor?:No
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK120780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily