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Individual

MRS. DEBORAH L. BARROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
283 N 1ST EAST, DRIGGS HEALTH CLINIC, DRIGGS, ID 83422-5112
(208) 354-2302
(208) 354-8392
Mailing address
39 MORNING BREEZE LN, JACKSON, TN 38305-9654
(731) 202-1909

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19023A
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-884
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000010169260
ID
Enumeration date
08/05/2008
Last updated
10/12/2023
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