Healthcare Provider Details

I. General information

NPI: 1457402901
Provider Name (Legal Business Name): DEBORAH SUE ATKINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 11/08/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 15TH ST
MERCED CA
95340-6217
US

IV. Provider business mailing address

7243 STATE HIGHWAY 49 N
MARIPOSA CA
95338-9517
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-6879
  • Fax:
Mailing address:
  • Phone: 209-377-8404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number533841
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: