Provider Demographics
NPI:1518787753
Name:MCCANN, DEBRA IRENE (DONA, PE, AAHCC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:IRENE
Last Name:MCCANN
Suffix:
Gender:F
Credentials:DONA, PE, AAHCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7782 PROSPECT DELAWARE RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:OH
Mailing Address - Zip Code:43342-9547
Mailing Address - Country:US
Mailing Address - Phone:740-971-8264
Mailing Address - Fax:
Practice Address - Street 1:7782 PROSPECT DELAWARE RD
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:OH
Practice Address - Zip Code:43342-9547
Practice Address - Country:US
Practice Address - Phone:740-971-8264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula