Provider Demographics
NPI:1548498868
Name:TWEEDY, DEBORAH A (RN MSN CNP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:TWEEDY
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Gender:F
Credentials:RN MSN CNP
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Mailing Address - Street 1:6320A W UNION HILLS DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7177
Mailing Address - Country:US
Mailing Address - Phone:623-376-0191
Mailing Address - Fax:623-376-0197
Practice Address - Street 1:6320A W UNION HILLS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:623-376-0191
Practice Address - Fax:623-376-0197
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2013-04-18
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Provider Licenses
StateLicense IDTaxonomies
AZRN115330363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner