Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | C1-0009780 | DE |
N | 207Q00000X | Family Doctor | H2874 | TX |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD455783 | PA |
NPI | 1053390542 |
---|---|
Provider Name | Dr. Debra Vermette |
First Address | Blue Bell, PA 19422-2239 |
Second Address | Blue Bell, PA 19422-2239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F40578 | (02) |