Provider Demographics
NPI:1801482179
Name:FRITCH, DEBRA DUPREY (RN)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:DUPREY
Last Name:FRITCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:DD
Other - Middle Name:
Other - Last Name:FRITCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2634 RANGEWOOD CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-1509
Mailing Address - Country:US
Mailing Address - Phone:404-644-0295
Mailing Address - Fax:
Practice Address - Street 1:2634 RANGEWOOD CT NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-1509
Practice Address - Country:US
Practice Address - Phone:404-644-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN097382163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health