Provider Demographics
NPI:1902800782
Name:WHITE, DEBORAH ANN (PHD, CPNP, FNP-BC)
Entity Type:Individual
Prefix:PROF
First Name:DEBORAH
Middle Name:ANN
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHD, CPNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2354 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3328
Mailing Address - Country:US
Mailing Address - Phone:412-831-1212
Mailing Address - Fax:412-831-8587
Practice Address - Street 1:1600 CORAOPOLIS HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4316
Practice Address - Country:US
Practice Address - Phone:412-262-2415
Practice Address - Fax:412-262-1537
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003219D363LP0200X
FL1248722363LP0200X
PASP010054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA251781887Medicaid