Provider Demographics
NPI:1457421315
Name:MCNAMARA, DEBRA FRANCES (RN)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:FRANCES
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11353 SUNOWA SPRINGS TRL
Mailing Address - Street 2:
Mailing Address - City:BRYCEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32009-1536
Mailing Address - Country:US
Mailing Address - Phone:904-244-9571
Mailing Address - Fax:904-244-9577
Practice Address - Street 1:2305 STATE RD 207
Practice Address - Street 2:
Practice Address - City:ST. AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-1008
Practice Address - Country:US
Practice Address - Phone:904-823-0396
Practice Address - Fax:904-823-0679
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1356432163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health