Provider Demographics
NPI:1780790899
Name:ORECCHIO, DEBORAH LYNN (CRNA)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:ORECCHIO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2356
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-0356
Mailing Address - Country:US
Mailing Address - Phone:740-282-8100
Mailing Address - Fax:740-282-8101
Practice Address - Street 1:2323 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2433
Practice Address - Country:US
Practice Address - Phone:740-282-8100
Practice Address - Fax:740-282-8101
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV57922367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2350585Medicaid
P00395507OtherRAILROAD MEDICARE
WV5710375000Medicaid
OH2350585Medicaid