MEDICARE: DEBORAH LYNNE ORMAN RN, MS, CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364S00000X	Clinical Nurse Specialist	R1200524	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	298540R	OTHER	MN	BCBS OF MN

General Provider Information

NPI Number	:	1174500508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH LYNNE ORMAN RN, MS, CNS

Provider Business Mailing Address
First Line	:	2550 UNIVERSITY AVE W
Second Line	:	SUITE 229N
City	:	ST. PAUL
State	:	MN
Zip	:	55114-1052
Country	:	US
Telephone Number	:	651-645-3115
Fax Number	:	651-645-2752

Provider Business Practice Location Address
First Line	:	2550 UNIVERSITY AVE W
Second Line	:	SUITE 229N
City	:	ST. PAUL
State	:	MN
Zip	:	55114-1052
Country	:	US
Telephone Number	:	651-645-3115
Fax Number	:	651-645-2752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	08/22/2022

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