Provider Demographics
NPI:1427074178
Name:FOURNIER, DEBRA ANN (APRN)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:ANN
Last Name:FOURNIER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-6330
Mailing Address - Fax:603-650-6390
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC / PHYSICAL MEDICINE
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-6330
Practice Address - Fax:603-650-6390
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH050234-23363LA2200X, 363LP0808X
NH0523421163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q37661Medicare UPIN
NHNP4939Medicare PIN