Provider Demographics
NPI:1811293434
Name:DUGGER, DEBORAH ANN (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ANN
Last Name:DUGGER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:LUSKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DEBORAH DUGGER
Mailing Address - Street 1:807 S WESTERLY RD
Mailing Address - Street 2:#110
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-5424
Mailing Address - Country:US
Mailing Address - Phone:928-468-8940
Mailing Address - Fax:
Practice Address - Street 1:807 S WESTERLY RD
Practice Address - Street 2:#110
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5424
Practice Address - Country:US
Practice Address - Phone:928-468-8940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN147666163W00000X
CA334461163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse