Provider Demographics
NPI:1154661882
Name:MILLER, DEBRA JANE (BS/RN-BC)
Entity type:Individual
Prefix:MISS
First Name:DEBRA
Middle Name:JANE
Last Name:MILLER
Suffix:
Gender:F
Credentials:BS/RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 JACKSON ST
Mailing Address - Street 2:APT.330
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2137
Mailing Address - Country:US
Mailing Address - Phone:978-677-7247
Mailing Address - Fax:
Practice Address - Street 1:2 BENNETT CIR
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-5264
Practice Address - Country:US
Practice Address - Phone:978-663-9474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-16
Last Update Date:2013-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA181111163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse