Provider Demographics
NPI:1255519088
Name:HARRIS, DEBORAH KIVETT
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KIVETT
Last Name:HARRIS
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 1:3110 CAMERON DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-9605
Mailing Address - Country:US
Mailing Address - Phone:919-777-2903
Mailing Address - Fax:919-777-2904
Practice Address - Street 1:3110 CAMERON DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332-9605
Practice Address - Country:US
Practice Address - Phone:919-777-2903
Practice Address - Fax:919-777-2904
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion