Provider Demographics
NPI:1922030527
Name:MCGLAUGHLIN, DEBBRA A (FNP)
Entity Type:Individual
Prefix:
First Name:DEBBRA
Middle Name:A
Last Name:MCGLAUGHLIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEBBRA
Other - Middle Name:A
Other - Last Name:BABIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:460 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MADAWASKA
Mailing Address - State:ME
Mailing Address - Zip Code:04756-1014
Mailing Address - Country:US
Mailing Address - Phone:207-728-7300
Mailing Address - Fax:207-728-7838
Practice Address - Street 1:460 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MADAWASKA
Practice Address - State:ME
Practice Address - Zip Code:04756-1014
Practice Address - Country:US
Practice Address - Phone:207-728-7300
Practice Address - Fax:207-728-7838
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME035042363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME254620099Medicaid
P64989Medicare UPIN
ME254620099Medicaid