Individual
DEBORAH ROBERTS ORCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1226 W RIVER ST, BOISE, ID 83702-7049
(208) 331-1155
(208) 383-0190
Mailing address
37 CHASE ST, POCATELLO, ID 83201-3246
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
N-36761
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-36761
N-36761
ID
Enumeration date
08/04/2010
Last updated
08/04/2010
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