Healthcare Provider Details

I. General information

NPI: 1861922379
Provider Name (Legal Business Name): DEBRA SIGMON ORR AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2017
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 HAWORTH DR
RALEIGH NC
27609-7244
US

IV. Provider business mailing address

PO BOX 18563
RALEIGH NC
27619-8563
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-1806
  • Fax: 919-782-4756
Mailing address:
  • Phone: 919-782-1806
  • Fax: 919-782-4756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number5009543
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: