Individual ProviderDeborah Lynn KoivulaRegistered NurseNursing Service ProvidersPractice Address64 2nd Ave, Albany, NY 12202-1240(518) 449-5170PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Lynn Koivula does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1598981821Provider TypeIndividualFull NameKoivula, Deborah LynnTitleMs.CredentialR.N.GenderFemaleSole ProprietorNoEnumeration Date4/17/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address64 2nd Ave, Albany, NY 12202-1240Phone(518) 449-5170FaxUnlisted FaxMailing LocationMailing Address715 Western Ave, Albany, NY 12203-2049Phone(518) 449-5170FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense457118New York