Healthcare Provider Details

I. General information

NPI: 1174500508
Provider Name (Legal Business Name): DEBORAH LYNNE ORMAN RN, MS, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 UNIVERSITY AVE W SUITE 229N
ST. PAUL MN
55114-1052
US

IV. Provider business mailing address

2550 UNIVERSITY AVE W SUITE 229N
ST. PAUL MN
55114-1052
US

V. Phone/Fax

Practice location:
  • Phone: 651-645-3115
  • Fax: 651-645-2752
Mailing address:
  • Phone: 651-645-3115
  • Fax: 651-645-2752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberR1200524
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: