Basic Information
Provider Information
NPI: 1417263955
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADLER
FirstName: DEBORAH
MiddleName: BOOTH
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
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Mailing Information
Address1: WOMEN'S BIRTH & WELLNESS CENTER
Address2: 930 MARTIN LUTHER KING JR. BLVD. STE 202
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber: 9199333375
Practice Location
Address1: WOMEN'S BIRTH & WELLNESS CENTER
Address2: 930 MARTIN LUTHER KING JR. BLVD. STE 202
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber: 9199333375
Other Information
ProviderEnumerationDate: 08/22/2010
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X940041NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
163WL0100XL-42445NCN Nursing Service ProvidersRegistered NurseLactation Consultant

No ID Information.


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