Provider Demographics
NPI:1881079614
Name:TOWNSLEY, DEBORAH L (APRN, RN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:TOWNSLEY
Suffix:
Gender:F
Credentials:APRN, RN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:SPURLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:97 GREAT TEAYS BLVD
Mailing Address - Street 2:STE 6
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9815
Mailing Address - Country:US
Mailing Address - Phone:304-757-6999
Mailing Address - Fax:304-201-5019
Practice Address - Street 1:515 MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-1417
Practice Address - Country:US
Practice Address - Phone:304-369-0393
Practice Address - Fax:304-369-0371
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV56889163W00000X
WVAPRN56889FNPBC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV003296899OtherHIGHMARK BCBS
WV3810029686Medicaid
WVWV5831AMedicare Oscar/Certification
WVWV5831BMedicare Oscar/Certification