Provider Demographics
NPI:1912274093
Name:DEFLUMERI, DEBRA BETH (NP)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:BETH
Last Name:DEFLUMERI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:450 MAPLE ST
Mailing Address - Street 2:PO BOX A
Mailing Address - City:HAWTHORNE
Mailing Address - State:MA
Mailing Address - Zip Code:01937
Mailing Address - Country:US
Mailing Address - Phone:978-774-5000
Mailing Address - Fax:978-739-0427
Practice Address - Street 1:450 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:HATHORNE
Practice Address - State:MA
Practice Address - Zip Code:01937-0380
Practice Address - Country:US
Practice Address - Phone:978-774-5000
Practice Address - Fax:978-739-0427
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160537363LA2200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care