Basic Information
Provider Information
NPI: 1750924999
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CLAUSS
FirstName: DEBORAH
MiddleName: L
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 104 PINE ST
Address2:  
City: KUTZTOWN
State: PA
PostalCode: 195301110
CountryCode: US
TelephoneNumber: 6105332316
FaxNumber:  
Practice Location
Address1: 13 ARMAND HAMMER BLVD
Address2: STE 300
City: POTTSTOWN
State: PA
PostalCode: 194645006
CountryCode: US
TelephoneNumber: 1068558646
FaxNumber: 6109291528
Other Information
ProviderEnumerationDate: 10/21/2019
LastUpdateDate: 03/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LC0200XSP020923PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

No ID Information.


Home