Basic Information
| Provider Information | |||||||||
| NPI: | 1538258710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCHUGH | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4700 UNION DEPOSIT ROAD | ||||||||
| Address2: | SUITE 140 | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176526605 | ||||||||
| FaxNumber: | 7179201265 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 UNION DEPOSIT ROAD | ||||||||
| Address2: | SUITE 140 | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176526605 | ||||||||
| FaxNumber: | 7179201265 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | VP000105F | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.