Provider Demographics
NPI:1487782181
Name:MROZ, DEBORAH DOROTHY (RN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DOROTHY
Last Name:MROZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WEST WIND COURT
Mailing Address - Street 2:BREEZEWOOD II
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-757-4707
Mailing Address - Fax:
Practice Address - Street 1:11 WEST WIND COURT
Practice Address - Street 2:BREEZEWOOD II
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-757-4707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10025595163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health