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Individual
DEBORAH A FISCUS
Active
Individual
DEBORAH A FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30001622
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039592
LABOR AND INDUSTRIES #
WA
01
—
500025494
RAILROAD MC#
WA
01
—
5341FI
BLUE SHIELD #
WA
05
—
9607201
—
WA
01
—
US2882562
AETNA SPECIALIST PIN
WA
Enumeration date
02/01/2007
Last updated
07/23/2020
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