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NPI Code Detail

MEDICARE: MS. DEBORAH S ROUCHON CRNA

MEDICARE:  MS. DEBORAH S ROUCHON  CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP2524962FL
2367500000XCertified Registered Nurse Anesthetist1099209AL
3367500000XCertified Registered Nurse AnesthetistRN162867GA
4367500000XCertified Registered Nurse Anesthetist3852AKY
5367500000XCertified Registered Nurse Anesthetist190868NC
6367500000XCertified Registered Nurse AnesthetistNA07233OH
7367500000XCertified Registered Nurse AnesthetistRN542278PA
8367500000XCertified Registered Nurse AnesthetistAPN881SC
9367500000XCertified Registered Nurse AnesthetistRN138713TN
10367500000XCertified Registered Nurse Anesthetist24165930VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538162540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH S ROUCHON CRNA
Provider Business Mailing Address
First Line : 1009 OAK CIR
Second Line :
City : PALM HARBOR
State : FL
Zip : 34683-6627
Country : US
Telephone Number : 727-686-2063
Fax Number : 727-781-7090
Provider Business Practice Location Address
First Line : 1009 OAK CIR
Second Line :
City : PALM HARBOR
State : FL
Zip : 34683-6627
Country : US
Telephone Number : 727-686-2063
Fax Number : 727-781-7090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ MS. DEBORAH S ROUCHON CRNA” Practice Location

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