Healthcare Provider Details

I. General information

NPI: 1942338884
Provider Name (Legal Business Name): DEBORAH L. KIRKPATRICK RN, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10745 E SKY HIGH DR
TUCSON AZ
85730-5059
US

IV. Provider business mailing address

9420 E GOLF LINKS RD #168
TUCSON AZ
85730-1355
US

V. Phone/Fax

Practice location:
  • Phone: 520-290-2911
  • Fax: 520-290-2911
Mailing address:
  • Phone: 520-290-2911
  • Fax: 520-290-2911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN031390
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: