Individual
MS. DEBORAH LYNN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
704 FORTINO BLVD STE D, PUEBLO, CO 81008-2087
(719) 547-5138
(719) 547-4374
Mailing address
PO BOX 40104, BELFAST, ME 04915-1239
(719) 547-5138
(719) 547-4374
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
3763NP
CO
363L00000X
Nurse Practitioner
118112
CO
363L00000X
Nurse Practitioner
3763
CO
363LF0000X
Family Nurse Practitioner
Primary
0003763
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56884346
—
CO
Enumeration date
10/18/2006
Last updated
09/30/2025
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