Provider Demographics
NPI:1699113373
Name:DUBEANSKY, DEBBIE (RN, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:DUBEANSKY
Suffix:
Gender:F
Credentials:RN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9485 MENTOR AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-8711
Mailing Address - Country:US
Mailing Address - Phone:615-260-2671
Mailing Address - Fax:
Practice Address - Street 1:9485 MENTOR AVE STE 3
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-8711
Practice Address - Country:US
Practice Address - Phone:615-260-2671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306324363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health