MEDICARE: DR. DEBORAH LOUISE PERKINS NP, PHD

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	225400000X	Rehabilitation Practitioner	18946	CA
2	363LF0000X	Family Nurse Practitioner	18946	CA
3	363LF0000X	Family Nurse Practitioner	814887	NV
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	18946	CA
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	814887	NV

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

General Provider Information

NPI Number	:	1952537649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH LOUISE PERKINS NP, PHD

Provider Business Mailing Address
First Line	:	2432 OCEAN FRONT DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7483
Country	:	US
Telephone Number	:	725-221-4340
Fax Number	:	725-246-2458

Provider Business Practice Location Address
First Line	:	2620 REGATTA DR STE 246
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-6891
Country	:	US
Telephone Number	:	702-901-5804
Fax Number	:	725-246-2458

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

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	02/07/2023

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Directions to “ DR. DEBORAH LOUISE PERKINS NP, PHD” Practice Location

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