Provider Demographics
NPI:1871705863
Name:NAGURNEY, DEBRA KATHERINE (DR OF CHIROPRACTIC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:KATHERINE
Last Name:NAGURNEY
Suffix:
Gender:F
Credentials:DR OF CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8187 SE COCONUT ST
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455
Mailing Address - Country:US
Mailing Address - Phone:772-398-3440
Mailing Address - Fax:772-398-3440
Practice Address - Street 1:12300 ALT A1A
Practice Address - Street 2:SUITE 119
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-625-1993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6689111N00000X
NYX0106341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
55178OtherBCBS
55178Medicare ID - Type Unspecified
51770Medicare UPIN