Cohen, Debra Gaddy

Cohen, Debra Gaddy is an individual health care provider with primary practice located at 1250 E Marshall St Pediatrics, Richmond VA 23298-5051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cohen, Debra Gaddy can be contacted via phone (804) 828-9605.

Contact Information

Primary practice address
1250 E Marshall St Pediatrics Richmond VA 23298-5051
Phone: (804) 828-9605
Fax: (804) 828-6455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 300160 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024167882 Virginia

Profile Details

NPI number 1912981093
LBN Legal business name Cohen, Debra Gaddy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Nov 9th, 2010 - about 16 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912981093 NPPES
North Carolina Other B9033 MEDCOST
North Carolina Other 7539762 MEDCOST
North Carolina MEDICAID 10353718 MEDCOST
North Carolina MEDICAID QNP034 MEDCOST
North Carolina MEDICAID 7000932 MEDCOST

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