MEDICARE: MS. DEBORAH LEE HARPER A.R.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	832052	FL

General Provider Information

NPI Number	:	1083726327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH LEE HARPER A.R.N.P.

Provider Business Mailing Address
First Line	:	1515 E SILVER SPRINGS BLVD
Second Line	:	SUITE 115
City	:	OCALA
State	:	FL
Zip	:	34470-6831
Country	:	US
Telephone Number	:	352-374-6005
Fax Number	:	352-379-4055

Provider Business Practice Location Address
First Line	:	1515 E SILVER SPRINGS BLVD
Second Line	:	SUITE 115
City	:	OCALA
State	:	FL
Zip	:	34470-6831
Country	:	US
Telephone Number	:	352-374-6005
Fax Number	:	352-379-4055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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