Booysen, Debra Catherine
Booysen, Debra Catherine is an sole proprietor health care provider with primary practice located at 1919 Lathrop St , Fairbanks AK 99701-5937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Booysen, Debra Catherine can be contacted via phone (907) 458-3346.Contact Information
Primary practice address
1919 Lathrop St
Fairbanks AK 99701-5937
Phone: (907) 458-3346
Fax: (907) 458-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 112300 | Alaska |
Profile Details
| NPI number | 1760935365 |
|---|---|
| LBN Legal business name | Booysen, Debra Catherine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2016 |
| Last updated | Aug 31st, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760935365 | NPPES |
| Alaska | MEDICAID | 1650951 |
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