Individual
DEBORAH DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8274 N MAIN ST, EDEN, NY 14057-1104
(716) 575-7282
(716) 899-5081
Mailing address
8274 N MAIN ST, EDEN, NY 14057-1104
(716) 575-7282
(716) 899-5081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331909
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02576805
—
NY
Enumeration date
11/22/2005
Last updated
04/16/2026
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