Deborah Anne Adams-Courtland
Individual provider Active NPI Specialist · Prescott, AZ
NPI 1457795866 · NPPES record last updated Apr 29, 2013
Key facts
- NPI
- 1457795866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 3193234 (AZ)
- Practice address
- 121 S Washington Ave
Prescott, AZ 86303-4438 - Phone
- (928) 848-6322
- NPI assigned
- Apr 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3193234 | AZ | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3193234 | AZ | Yes |
Addresses
Primary practice location
121 S Washington Ave
Prescott, AZ 86303-4438
Mailing address
121 S Washington Ave
Prescott, AZ 86303-4438
Phone (928) 848-6322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3193234 | Other | AZ | OFFICE OF LICENSING, CERTIFICATION AND REGISTRATION |
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.