Healthcare Provider Details

I. General information

NPI: 1780329862
Provider Name (Legal Business Name): DEANNA LYNN FRABOTTA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 MICHAEL DR
EDINBURG PA
16116-2115
US

IV. Provider business mailing address

2305 WILMINGTON RD STE 3
NEW CASTLE PA
16105-1959
US

V. Phone/Fax

Practice location:
  • Phone: 724-965-8355
  • Fax:
Mailing address:
  • Phone: 724-965-8355
  • Fax: 877-456-7299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN524372L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN524372L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: