Provider Demographics
NPI:1487430112
Name:ABNER, DEBORAH (CPM, LM, LDEM)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:ABNER
Suffix:
Gender:F
Credentials:CPM, LM, LDEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4258 W ABBEY BEND LN
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-1691
Mailing Address - Country:US
Mailing Address - Phone:434-987-0468
Mailing Address - Fax:
Practice Address - Street 1:4258 W ABBEY BEND LN
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-1691
Practice Address - Country:US
Practice Address - Phone:434-987-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife