Individual
MRS. DEBORAH LYNNE SIDERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
Mailing address
629 FAIRWAY RIDGE DR, WEST JEFFERSON, NC 28694-8394
(336) 877-3376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
193584
NC
Other
Enumeration date
08/24/2005
Last updated
07/21/2022
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