Healthcare Provider Details
I. General information
NPI: 1396828570
Provider Name (Legal Business Name): DEBRA A. LAMOUREUX FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/23/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4512 KIRKWOOD HWY STE 201
WILMINGTON DE
19808-5100
US
IV. Provider business mailing address
4512 KIRKWOOD HWY STE 201
WILMINGTON DE
19808-5100
US
V. Phone/Fax
- Phone: 302-603-8502
- Fax: 302-610-4288
- Phone: 302-603-8502
- Fax: 302-610-4288
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 216705 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | LG-0000872 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: