Provider Demographics
NPI:1306940978
Name:WARSHAWSKY, DEBORAH W (CRNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:W
Last Name:WARSHAWSKY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:E
Other - Last Name:WYATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:CARDIAC CATH LAB
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-744-7368
Mailing Address - Fax:302-735-3842
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:CARDIAC CATH LAB
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-744-7368
Practice Address - Fax:302-735-3842
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007669363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
165154OtherMEDICARE GROUP
P92636Medicare UPIN
PA071050Medicare ID - Type Unspecified