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NPI Code Detail

MEDICARE: MS. DEBORAH MARTINEZ WILLIAMS RN

MEDICARE: MS. DEBORAH MARTINEZ WILLIAMS RN
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
1163W00000XRegistered NurseRN.1657081CO
2124Q00000XDental Hygienist903812CO

General Provider Information

NPI Number : 1851459242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH MARTINEZ WILLIAMS RN
Provider Business Mailing Address
First Line : 1795 JET WING DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2332
Country : US
Telephone Number : 719-572-6100
Fax Number :
Provider Business Practice Location Address
First Line : 1795 JET WING DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2332
Country : US
Telephone Number : 719-572-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 03/03/2026

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