Healthcare Provider Details

I. General information

NPI: 1457421315
Provider Name (Legal Business Name): DEBRA FRANCES MCNAMARA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 STATE RD 207
ST. AUGUSTINE FL
32086-1008
US

IV. Provider business mailing address

11353 SUNOWA SPRINGS TRL
BRYCEVILLE FL
32009-1536
US

V. Phone/Fax

Practice location:
  • Phone: 904-823-0396
  • Fax: 904-823-0679
Mailing address:
  • Phone: 904-244-9571
  • Fax: 904-244-9577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberRN1356432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: