Deborah Ann Bean, RN BSN

Individual provider Active NPI Community Health Registered Nurse · Union City, GA

NPI 1992344592 · NPPES record last updated Dec 30, 2019

Key facts

NPI
1992344592
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN085347 (GA)
Practice address
4405 Mall Blvd
Union City, GA 30291-2044
Phone
(770) 892-3200
NPI assigned
Dec 30, 2019
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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN085347GAMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN085347 GA Yes

Addresses

Primary practice location

4405 Mall Blvd
Union City, GA 30291-2044

Mailing address

4405 Mall Blvd
Union City, GA 30291-2044

Other providers in Union City, GA

All providers in Union City, GA · Community Health Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.