Provider Demographics
NPI:1447522669
Name:DOPP, DEBORAH J (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:DOPP
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 OSBORNE RD
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1652
Mailing Address - Country:US
Mailing Address - Phone:518-434-1960
Mailing Address - Fax:518-434-0656
Practice Address - Street 1:349 OSBORNE RD
Practice Address - Street 2:
Practice Address - City:LOUDONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12211-1652
Practice Address - Country:US
Practice Address - Phone:518-434-1960
Practice Address - Fax:518-434-0656
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY349049-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool