Individual
MS. DEBORAH N. DEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 856-6320
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 856-6320
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R20928
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06525067
—
NM
01
—
379487YX2Z
MEDICARE #
NM
Enumeration date
09/29/2005
Last updated
04/08/2015
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