Provider Demographics
NPI:1558325423
Name:URQUHART, DEBRA L (ARNP)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:URQUHART
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:LEE
Other - Last Name:SCHWENDEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 862851
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-2851
Mailing Address - Country:US
Mailing Address - Phone:954-847-4273
Mailing Address - Fax:954-847-4542
Practice Address - Street 1:4800 W. HILLSBORO BLVD.
Practice Address - Street 2:SUITE A-6
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4330
Practice Address - Country:US
Practice Address - Phone:954-481-9184
Practice Address - Fax:954-481-9317
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9178262363L00000X
NH0178042305363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306386100Medicaid
FL306386100Medicaid
FLY055RZMedicare ID - Type Unspecified