MEDICARE: DEBORAH ANN PRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	P27305	IA

General Provider Information

NPI Number	:	1346199924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN PRICE

Provider Business Mailing Address
First Line	:	3500 DALTON WAY SW
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52404-2564
Country	:	US
Telephone Number	:	319-369-4340
Fax Number	:	319-369-4341

Provider Business Practice Location Address
First Line	:	3500 DALTON WAY SW
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52404-2564
Country	:	US
Telephone Number	:	319-369-4340
Fax Number	:	319-369-4341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ DEBORAH ANN PRICE ” Practice Location

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