Individual
DEBORAH MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
AP BEUTAL STUDENT HEALTH SERVICES, 1264 TAMU, COLLEGE STATION, TX 77843-1264
(979) 458-8300
(979) 458-8314
Mailing address
AP BEUTAL STUDENT HEALTH SERVICES, 1264 TAMU, COLLEGE STATION, TX 77843-1264
(979) 458-8300
(979) 458-8314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
563662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951607
—
TX
05
—
000951608
—
TX
05
—
154467801
—
TX
05
—
1693418-02
—
TX
01
—
1750470084
NPI CLINIC M
TX
01
—
1821185299
NPI AGENCY
TX
05
—
185649401
—
TX
01
—
741715140
TAX ID
TX
01
—
8N9134
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
11/27/2013
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