Provider Demographics
NPI:1447331830
Name:CHASE, DEBORAH LYNN (FNP-C)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LYNN
Last Name:CHASE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:LYNN
Other - Last Name:NITTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 40104
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-1239
Mailing Address - Country:US
Mailing Address - Phone:719-547-5138
Mailing Address - Fax:719-547-4374
Practice Address - Street 1:704 FORTINO BLVD STE D
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2087
Practice Address - Country:US
Practice Address - Phone:719-547-5138
Practice Address - Fax:719-547-4374
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3763NP208D00000X
CO118112363L00000X
CO3763363L00000X
CO0003763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO56884346Medicaid
P74369Medicare UPIN
CO56884346Medicaid