Provider Demographics
NPI:1053679282
Name:BEIRNE, DEBRA ANN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:BEIRNE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1305 WEBSTER RD
Mailing Address - Street 2:ATTN: TAMMIE SILVA
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-1125
Mailing Address - Country:US
Mailing Address - Phone:304-526-2243
Mailing Address - Fax:304-526-2220
Practice Address - Street 1:1623 13TH AVE
Practice Address - Street 2:ATTN: TAMMIE SILVA
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3845
Practice Address - Country:US
Practice Address - Phone:304-526-2247
Practice Address - Fax:304-526-2220
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV69329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily