Healthcare Provider Details

I. General information

NPI: 1518895663
Provider Name (Legal Business Name): DEBORAH MCCUNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 DONALD DR
FAIRFIELD OH
45014-3006
US

IV. Provider business mailing address

255 DONALD DR
FAIRFIELD OH
45014-3006
US

V. Phone/Fax

Practice location:
  • Phone: 513-829-4504
  • Fax: 513-829-7447
Mailing address:
  • Phone: 513-829-4504
  • Fax: 513-829-7447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.428527
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: