| NPI | 1124468582 |
|---|---|
| Former Name | DEBORAH ANN REAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R189457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337935) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95004908) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1023748) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2020-10-07 |