Provider Demographics
NPI:1174613996
Name:GIDDINGS, DEBORAH MARIA (PA-C)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:MARIA
Last Name:GIDDINGS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50316-1625
Mailing Address - Country:US
Mailing Address - Phone:515-262-3628
Mailing Address - Fax:
Practice Address - Street 1:1511 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50316-1625
Practice Address - Country:US
Practice Address - Phone:515-262-3628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001672363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant