| Doctor Name: | DEBRA ANN KORDOSKY |
| NPI Number: | 1053592873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN144491 |
| Business Practice Address: | 3305 E Fry Blvd Sierra Vista, AZ - 856352990 |
| Business Phone Number: | 5205152920 |
| Business Fax Number: | 5205152900 |
| Mailing Address: | 3305 E Fry Blvd, SIERRA VISTA |
| State: | AZ |
| Postal Code: | 856352990 |
| Phone Number: | 5205152920 |
| Fax Number: | 5205152900 |
| NPI Enumeration Date: | 11/20/2007 |
| NPI Last Update Date: | 11/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN144491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |