Individual
MS. DEBORAH ANNE BODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2445 STATE ROUTE 30, TUPPER LAKE, NY 12986-2502
(518) 554-8087
(518) 359-4133
Mailing address
2445 STATE ROUTE 30, TUPPER LAKE, NY 12986-2502
(518) 554-8087
(518) 359-4133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
438972
NY
363LF0000X
Family Nurse Practitioner
Primary
331877
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q2620560
—
NY
Enumeration date
08/24/2005
Last updated
03/04/2020
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