Healthcare Provider Details
I. General information
NPI: 1609039601
Provider Name (Legal Business Name): DEBORAH ANN ZBEGNER DNSC, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/09/2008
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
672 N RIVER STREET SUITE111
PLAINS PA
18705-1033
US
IV. Provider business mailing address
672 N RIVER ST SUITE 111
PLAINS PA
18705-1033
US
V. Phone/Fax
- Phone: 570-552-7150
- Fax: 570-552-7155
- Phone: 570-552-7150
- Fax: 570-552-7155
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | UP001274G |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | UP001274G |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN244167L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: