Provider Demographics
NPI:1902945728
Name:DEBELLA, ADRIANA R (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:R
Last Name:DEBELLA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:ADRIANA
Other - Middle Name:R
Other - Last Name:DEBELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:13 SAGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2234
Mailing Address - Country:US
Mailing Address - Phone:610-733-5883
Mailing Address - Fax:
Practice Address - Street 1:700 S HENDERSON RD STE B
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3530
Practice Address - Country:US
Practice Address - Phone:610-337-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN519647L367500000X
NJ26NR12866900367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered