Healthcare Provider Details

I. General information

NPI: 1639210065
Provider Name (Legal Business Name): DEBORAH NIXDORF ND, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HANNAH DR
ASHEVILLE NC
28804-1365
US

IV. Provider business mailing address

24 HANNAH DR
ASHEVILLE NC
28804-1365
US

V. Phone/Fax

Practice location:
  • Phone: 828-392-7914
  • Fax: 828-554-0783
Mailing address:
  • Phone: 503-956-4680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC01019
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1514
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2009
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: