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Individual

MRS. DEBRA LYNNE MINOR-SCHORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN MSN CS B.C.

Contact information

Practice address
407 S. BROAD ST. STE. 1, EDENTON, NC 27932
(252) 562-8833
(252) 482-1055
Mailing address
407 S. BROAD ST. STE. 1, EDENTON, NC 27932
(252) 562-8833
(252) 482-1055

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
100093
NC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
147129-01
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1037A
BCBS NC
NC
05
6004026
NC
01
890000166
RAILROAD MEDICARE
NC
Enumeration date
02/02/2006
Last updated
07/21/2022
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