Provider Demographics
NPI:1194484790
Name:BORCHERS, DEBRA POWELL (BSN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:POWELL
Last Name:BORCHERS
Suffix:
Gender:F
Credentials:BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 LAKE ARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28570-5403
Mailing Address - Country:US
Mailing Address - Phone:252-528-0306
Mailing Address - Fax:
Practice Address - Street 1:141 SHADY PINES LN
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NC
Practice Address - Zip Code:28570-5101
Practice Address - Country:US
Practice Address - Phone:252-528-0306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC121329163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant