Doctor Name: | DEBORAH JEAN MOTL |
NPI Number: | 1033341136 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 50526 |
Business Practice Address: | 2000 Boise Ave Loveland, CO - 805385006 |
Business Phone Number: | 9162954519 |
Business Fax Number: | |
Mailing Address: | 7103 Ranger Dr, FORT COLLINS |
State: | CO |
Postal Code: | 805269617 |
Phone Number: | 9162954519 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2009 |
NPI Last Update Date: | 08/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 50526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |