Provider Demographics
NPI:1710365465
Name:POGGI, DEBRA (RN, HEALTH EDUCATOR)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:POGGI
Suffix:
Gender:F
Credentials:RN, HEALTH EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 OVERLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-5312
Mailing Address - Country:US
Mailing Address - Phone:603-703-1566
Mailing Address - Fax:
Practice Address - Street 1:26 OVERLEDGE DR
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-5312
Practice Address - Country:US
Practice Address - Phone:603-703-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH051084-21174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator