Provider Demographics
NPI:1962911958
Name:TERCHANIK, DEBORAH MARIE (BSN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MARIE
Last Name:TERCHANIK
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 VINEYARD ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15906-4219
Mailing Address - Country:US
Mailing Address - Phone:814-536-9091
Mailing Address - Fax:
Practice Address - Street 1:313 W HIGH ST STE 211
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-1549
Practice Address - Country:US
Practice Address - Phone:814-419-8083
Practice Address - Fax:814-419-8276
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN501918L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health