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NPI Code Detail

MEDICARE: DEBORAH ANN MCDERMOTT FNP-C

MEDICARE: DEBORAH ANN MCDERMOTT FNP-C
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
1363LF0000XFamily Nurse PractitionerLG-0001315DE

General Provider Information

NPI Number : 1871141531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN MCDERMOTT FNP-C
Provider Business Mailing Address
First Line : 2607 ABINGTON RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-1101
Country : US
Telephone Number : 302-753-3395
Fax Number :
Provider Business Practice Location Address
First Line : 2722 CONCORD PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19803-5007
Country : US
Telephone Number : 302-477-1406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 08/27/2019

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