Individual
MS. DEBORAH L. PRIBULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28538 DUPONT BLVD, MILLSBORO, DE 19966-4791
(302) 934-0944
(302) 934-0920
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F320061
NY
363L00000X
Nurse Practitioner
Primary
LG0011474
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02838640
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039823
PA MEDICARE GROUP
PW
01
—
P00379060
RR MEDICARE PIN
PA
Enumeration date
11/06/2006
Last updated
03/01/2021
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