Provider Demographics
NPI:1912974080
Name:BIGLER, DEBORAH LYNNE (RN MSN FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNNE
Last Name:BIGLER
Suffix:
Gender:F
Credentials:RN MSN FNP
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:LYNNE
Other - Last Name:BIGLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN MSN FNP
Mailing Address - Street 1:11241 MIROMAR SQUARE BLVD
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-6229
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:
Practice Address - Street 1:11241 MIROMAR SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH399606363LF0000X
FL9494815363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO50277332Medicaid
CO105301OtherLICENSE COLORADO BOARD ME
MB0710409OtherDEA
P46589Medicare UPIN
45138Medicare PIN