Healthcare Provider Details

I. General information

NPI: 1932522836
Provider Name (Legal Business Name): DEBORAH L. BURNS FNP-C, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH L. WATSON FNP-C, CDE

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9328 E RAINTREE DR
SCOTTSDALE AZ
85260-2098
US

IV. Provider business mailing address

9328 E RAINTREE DR
SCOTTSDALE AZ
85260-2098
US

V. Phone/Fax

Practice location:
  • Phone: 602-266-8463
  • Fax:
Mailing address:
  • Phone: 602-266-8463
  • Fax: 602-266-0122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number22220531
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberAP5524
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN095460
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP5524
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: