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NPI Code Detail

MEDICARE: MRS. DEBORAH BEAVERS ROBERSON F.N.P.

MEDICARE: MRS. DEBORAH BEAVERS ROBERSON F.N.P.
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
1363LF0000XFamily Nurse Practitioner201379NC

General Provider Information

NPI Number : 1346416765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH BEAVERS ROBERSON F.N.P.
Provider Business Mailing Address
First Line : 236 BUTTERNUT LN
Second Line :
City : CLAYTON
State : NC
Zip : 27520-5857
Country : US
Telephone Number : 919-359-1011
Fax Number : 919-205-1473
Provider Business Practice Location Address
First Line : 236 BUTTERNUT LN
Second Line :
City : CLAYTON
State : NC
Zip : 27520-5857
Country : US
Telephone Number : 919-359-1011
Fax Number : 919-205-1473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2008
Last Update Date : 06/03/2025

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