Provider Demographics
NPI:1154564508
Name:GUERRA, DEBORAH ANN (RN/CPNP)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ANN
Last Name:GUERRA
Suffix:
Gender:F
Credentials:RN/CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:721 SAVANNAH AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-3006
Mailing Address - Country:US
Mailing Address - Phone:956-631-5995
Mailing Address - Fax:956-631-1372
Practice Address - Street 1:721 SAVANNAH AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-3006
Practice Address - Country:US
Practice Address - Phone:956-631-5995
Practice Address - Fax:956-631-1372
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX250061363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics