Provider Demographics
NPI:1396828570
Name:LAMOUREUX, DEBRA A (FNP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:LAMOUREUX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:A
Other - Last Name:SHARPY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON ROAD
Practice Address - Street 2:SUITE 6E88
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-733-4186
Practice Address - Fax:302-733-6363
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000872363LF0000X
MA216705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP89611Medicare UPIN