Provider Demographics
NPI:1316938889
Name:DILLON, DEBORAH LYNNE (CNP)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LYNNE
Last Name:DILLON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR - BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:330-744-2883
Mailing Address - Fax:330-744-3935
Practice Address - Street 1:540 PARMALEE AVE STE 200
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44510-1717
Practice Address - Country:US
Practice Address - Phone:330-744-2883
Practice Address - Fax:330-744-3935
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP06516363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000194777OtherANTHEM
OHP00314061OtherRAILROAD
OH2009687Medicaid
OHDE7592OtherRAILROAD
OHDE7592OtherRAILROAD
OHB39617Medicare UPIN
OH000000194777OtherANTHEM
OHP00314061OtherRAILROAD