Deborah Bain, RN

Individual provider Active NPI Registered Nurse · Fort Lee, VI

NPI 1942241237 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1942241237
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
129508 (CO)
Practice address
700 24TH Street
Usameddac Kahc
Fort Lee, VI 23801-1716
Phone
(804) 734-9295
Fax
(804) 734-9016
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
129508COMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 129508 CO Yes

Addresses

Primary practice location

700 24TH Street
Usameddac Kahc
Fort Lee, VI 23801-1716

Mailing address

700 24TH STR
Usameddac Kahc Attn: Credentials Office
Fort Lee, VA 23801-1716
Phone (804) 734-9295

Sources for this page

Verify at the official NPI Registry.