Healthcare Provider Details

I. General information

NPI: 1417263955
Provider Name (Legal Business Name): DEBORAH BOOTH ADLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2010
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOMEN'S BIRTH & WELLNESS CENTER 930 MARTIN LUTHER KING JR. BLVD. STE 202
CHAPEL HILL NC
27514-2656
US

IV. Provider business mailing address

WOMEN'S BIRTH & WELLNESS CENTER 930 MARTIN LUTHER KING JR. BLVD. STE 202
CHAPEL HILL NC
27514-2656
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-3301
  • Fax: 919-933-3375
Mailing address:
  • Phone: 919-933-3301
  • Fax: 919-933-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number940041
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-42445
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: