Fogg, Deborah A

Fogg, Deborah A is an individual health care provider with primary practice located at 510 E Amende Dr , Odessa WA 99159-7003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fogg, Deborah A can be contacted via phone (509) 982-2614.

Contact Information

Primary practice address
510 E Amende Dr Odessa WA 99159-7003
Phone: (509) 982-2614
Fax: (509) 982-2675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN083436 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60749062 Washington

Profile Details

NPI number 1558600015
LBN Legal business name Fogg, Deborah A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2013
Last updated Mar 17th, 2018 - about 8 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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