Provider Demographics
NPI:1386735892
Name:FIORE, DEBRA JEAN (CNM)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:JEAN
Last Name:FIORE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:JEAN
Other - Last Name:O'CONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:103 PINE HILL DR
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1215
Mailing Address - Country:US
Mailing Address - Phone:919-428-0717
Mailing Address - Fax:
Practice Address - Street 1:103 PINE HILL DR
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1215
Practice Address - Country:US
Practice Address - Phone:919-428-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC384367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7002083Medicaid