Provider Demographics
NPI:1952537649
Name:PERKINS, DEBORAH LOUISE (NP, PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LOUISE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:NP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2432 OCEAN FRONT DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7483
Mailing Address - Country:US
Mailing Address - Phone:725-221-4340
Mailing Address - Fax:725-246-2458
Practice Address - Street 1:2620 REGATTA DR STE 246
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6891
Practice Address - Country:US
Practice Address - Phone:702-901-5804
Practice Address - Fax:725-246-2458
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18946225400000X, 363LF0000X, 363LP0808X
NV814887363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1952537649Medicaid