Provider Demographics
NPI:1063278737
Name:GUTHRIE, DEBORAH ONCALE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ONCALE
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6531 GREENLEAF ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1109
Mailing Address - Country:US
Mailing Address - Phone:703-927-4146
Mailing Address - Fax:
Practice Address - Street 1:6531 GREENLEAF ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1109
Practice Address - Country:US
Practice Address - Phone:703-927-4146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001066869163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse