Doctor Name: | MRS. DEBORAH ANNE PANCHELLA |
NPI Number: | 1871569806 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP849572 |
Business Practice Address: | 301 S Lemon St Bunnell, FL - 321106212 |
Business Phone Number: | 3864377350 |
Business Fax Number: | 3864378207 |
Mailing Address: | 301 S Lemon St, Po Box 847 BUNNELL |
State: | FL |
Postal Code: | 321106212 |
Phone Number: | 3864377350 |
Fax Number: | 3864378207 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | ARNP849572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |