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Individual

DEBRA LYNN BIRCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 MEDICAL PARK, SUITE 702, WHEELING, WV 26003
(304) 243-8409
(304) 243-8804
Mailing address
1 MEDICAL PARK, SUITE 702, WHEELING, WV 26003
(304) 243-8409
(304) 243-8804

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
55609
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0060587
OH
Enumeration date
01/04/2012
Last updated
05/21/2020
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