Provider Demographics
NPI:1154001550
Name:MCINTYRE, DEBORAH KATHLEEN
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KATHLEEN
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-3652
Mailing Address - Country:US
Mailing Address - Phone:308-535-7105
Mailing Address - Fax:
Practice Address - Street 1:1220 W 2ND ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-3652
Practice Address - Country:US
Practice Address - Phone:308-535-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)