Basic Information
| Provider Information | |||||||||
| NPI: | 1326014432 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POERIO | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, APRN, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 97 INJUN HOLLOW RD | ||||||||
| Address2: | |||||||||
| City: | HADDAM NECK | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064243021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605737682 | ||||||||
| FaxNumber: | 8606225342 | ||||||||
| Practice Location | |||||||||
| Address1: | 763BURNSIDE AVENUE | ||||||||
| Address2: | |||||||||
| City: | EAST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605737682 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2006 | ||||||||
| LastUpdateDate: | 04/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 000700 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.