Provider Demographics
NPI:1518052299
Name:HIRST, DEBORAH D (CS PMHNC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:D
Last Name:HIRST
Suffix:
Gender:F
Credentials:CS PMHNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PINE CREST ROAD
Mailing Address - Street 2:
Mailing Address - City:HARSPWELL
Mailing Address - State:ME
Mailing Address - Zip Code:04079
Mailing Address - Country:US
Mailing Address - Phone:207-729-2964
Mailing Address - Fax:
Practice Address - Street 1:43 PINE CREST ROAD
Practice Address - Street 2:
Practice Address - City:HARSPWELL
Practice Address - State:ME
Practice Address - Zip Code:04079
Practice Address - Country:US
Practice Address - Phone:207-729-2964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER029286363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health