Provider Demographics
NPI:1568955342
Name:MCLAUGHLIN, DEBRA L
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RED GATE DR
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NH
Mailing Address - Zip Code:03848-3146
Mailing Address - Country:US
Mailing Address - Phone:603-642-6764
Mailing Address - Fax:603-642-6764
Practice Address - Street 1:2 RED GATE DR
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NH
Practice Address - Zip Code:03848-3146
Practice Address - Country:US
Practice Address - Phone:603-642-6764
Practice Address - Fax:603-642-6764
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH033861-23363LF0000X
MA158232363LF0000X
NHF03170193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily