1609039601 NPI number — MS. DEBORAH ANN ZBEGNER DNSC, CRNP

Table of content: MS. DEBORAH ANN ZBEGNER DNSC, CRNP (NPI 1609039601)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609039601 NPI number — MS. DEBORAH ANN ZBEGNER DNSC, CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZBEGNER
Provider First Name:
DEBORAH
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
DNSC, CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609039601
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
672 N RIVER ST
Provider Second Line Business Mailing Address:
SUITE 111
Provider Business Mailing Address City Name:
PLAINS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18705-1033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-552-7150
Provider Business Mailing Address Fax Number:
570-552-7155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
672 N RIVER STREET
Provider Second Line Business Practice Location Address:
SUITE111
Provider Business Practice Location Address City Name:
PLAINS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18705-1033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-552-7150
Provider Business Practice Location Address Fax Number:
570-552-7155
Provider Enumeration Date:
07/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN244167L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LW0102X , with the licence number: UP001274G , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LX0001X , with the licence number: UP001274G , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1031414710002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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