Provider Demographics
NPI:1144994070
Name:MCLEAN, DEBBIEANN MARIE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:DEBBIEANN
Middle Name:MARIE
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 SW 125TH LN
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6013
Mailing Address - Country:US
Mailing Address - Phone:954-534-6838
Mailing Address - Fax:
Practice Address - Street 1:4250 SW 125TH LN
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6013
Practice Address - Country:US
Practice Address - Phone:954-534-6838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014367363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily