MEDICARE: MS. DEBORAH SUE REICH WHNP

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	363LW0102X	Women's Health Nurse Practitioner	AP3091	AZ
2	363L00000X	Nurse Practitioner	AP3091	AZ

General Provider Information

NPI Number	:	1972751105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH SUE REICH WHNP

Provider Business Mailing Address
First Line	:	26522 N 51ST DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-1274
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2925 W ROSE GARDEN LN SUITE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4028
Country	:	US
Telephone Number	:	623-265-7215
Fax Number	:	833-465-1462

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

Provider Enumeration Date	:	08/29/2008
Last Update Date	:	09/11/2023

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