Provider Demographics
NPI:1083763338
Name:CORRIGAN, DEBRA J (APRN)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:J
Last Name:CORRIGAN
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 1:40 BUTTRICK ROAD
Mailing Address - Street 2:ELLIOT INTERNAL MEDICINE AT LONDONERRY
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053
Mailing Address - Country:US
Mailing Address - Phone:603-434-1919
Mailing Address - Fax:603-434-7346
Practice Address - Street 1:40 BUTTRICK ROAD
Practice Address - Street 2:ELLIOT INTERNAL MEDICINE AT LONDONDERRY
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053
Practice Address - Country:US
Practice Address - Phone:603-434-1919
Practice Address - Fax:603-434-7346
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH045736-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHCO NP4309Medicare ID - Type Unspecified