Healthcare Provider Details

I. General information

NPI: 1083831028
Provider Name (Legal Business Name): DEBORAH COLLEEN WARREN ARNP, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 DEBRA RD BLDG 6200 EASTGATE CENTER
CHATTANOOGA TN
37411-5616
US

IV. Provider business mailing address

699 AL HIGHWAY 146
SCOTTSBORO AL
35768-5439
US

V. Phone/Fax

Practice location:
  • Phone: 423-893-6500
  • Fax:
Mailing address:
  • Phone: 256-587-6127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN0000007698
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: