Healthcare Provider Details

I. General information

NPI: 1982633111
Provider Name (Legal Business Name): DEBORAH JEAN GUTSHALL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 EDGAR ST SUITE E
YORK PA
17403-2862
US

IV. Provider business mailing address

1803 MOUNT ROSE AVE SUITE B3
YORK PA
17403-3026
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-4602
  • Fax: 717-812-3499
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-812-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberTP003883G
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: