Provider Demographics
NPI:1801084215
Name:CORTES, DEBORA A (PA)
Entity type:Individual
Prefix:MRS
First Name:DEBORA
Middle Name:A
Last Name:CORTES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 82ND PL
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4329
Mailing Address - Country:US
Mailing Address - Phone:515-270-1344
Mailing Address - Fax:515-270-6515
Practice Address - Street 1:2500 82ND PL
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-4329
Practice Address - Country:US
Practice Address - Phone:515-270-1344
Practice Address - Fax:515-270-6515
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA997363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical