Provider Demographics
NPI:1649374166
Name:GEBHARDT, DEBORAH LYNN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LYNN
Last Name:GEBHARDT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 E DUNSTABLE RD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-4216
Mailing Address - Country:US
Mailing Address - Phone:603-888-5573
Mailing Address - Fax:603-888-5703
Practice Address - Street 1:383 E DUNSTABLE RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-4216
Practice Address - Country:US
Practice Address - Phone:603-888-5573
Practice Address - Fax:603-888-5703
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH047200-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30342600Medicaid
NHNP4394Medicare ID - Type Unspecified
NH30342600Medicaid