Hargrove, Debra Ann

Hargrove, Debra Ann is an individual health care provider with primary practice located at 1220 Willis Ave , Daytona Beach FL 32114-2810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hargrove, Debra Ann can be contacted via phone (386) 236-3200.

Contact Information

Primary practice address
1220 Willis Ave Daytona Beach FL 32114-2810
Phone: (386) 236-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1388602 Florida

Profile Details

NPI number 1073688685
LBN Legal business name Hargrove, Debra Ann
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Mar 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073688685 NPPES
Florida MEDICAID 767109100

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