Healthcare Provider Details

I. General information

NPI: 1235493297
Provider Name (Legal Business Name): DEBORAH S BELCHER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2012
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 E BELL RD STE 172
PHOENIX AZ
85032-9385
US

IV. Provider business mailing address

4550 E BELL RD STE 172
PHOENIX AZ
85032-9385
US

V. Phone/Fax

Practice location:
  • Phone: 520-219-8690
  • Fax: 520-219-8694
Mailing address:
  • Phone: 520-219-8690
  • Fax: 520-219-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN076277
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP4538
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: