Individual
DEBORAH S HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 WORCESTER ST, NORTH GRAFTON, MA 01536-1024
(508) 839-2240
Mailing address
100 WORCESTER ST, NORTH GRAFTON, MA 01536-1024
(508) 839-2240
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
141024
MA
363LF0000X
Family Nurse Practitioner
Primary
141024
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500011234
RAILROAD
MA
Enumeration date
09/16/2006
Last updated
04/14/2017
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