Healthcare Provider Details

I. General information

NPI: 1306940978
Provider Name (Legal Business Name): DEBORAH W WARSHAWSKY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH E WYATT CRNP

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S STATE ST CARDIAC CATH LAB
DOVER DE
19901-3530
US

IV. Provider business mailing address

640 S STATE ST CARDIAC CATH LAB
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7368
  • Fax: 302-735-3842
Mailing address:
  • Phone: 302-744-7368
  • Fax: 302-735-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberSP007669
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: