Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP007669 | PA |
NPI | 1306940978 |
---|---|
Provider Name | Deborah W Warshawsky |
First Address | Dover, DE 19901-3530 |
Second Address | Dover, DE 19901-3530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 13/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
165154 | MEDICARE GROUP (01) | |
P92636 | (02) |