Individual
MRS. DEBORAH FISHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
(814) 693-2273
Mailing address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN059558L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11841350881
—
PA
Enumeration date
07/27/2018
Last updated
07/27/2018
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