| NPI | 1780768127 |
|---|---|
| Former Name | DEBRA LEE PROULX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 2726452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 570366-1) |
| 163W00000X Registered Nurse (Licence: IL 41-352070) | |
| 163W00000X Registered Nurse (Licence: NV 44325) | |
| 163W00000X Registered Nurse (Licence: CA 631932) | |
| 363L00000X Nurse Practitioner (Licence: NY F334865-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2726452) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2726452) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-06-28 |