Doctor Name: | MS. DEBRA MINOR-SCHORK |
NPI Number: | 1003888306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | 147129-01 |
Business Practice Address: | 504 East Elizabeth Street Suite8 Elizabeth City, NC - 279098909 |
Business Phone Number: | 2523351131 |
Business Fax Number: | 2523354336 |
Mailing Address: | 119 Montpelier Dr, EDENTON |
State: | NC |
Postal Code: | 279328909 |
Phone Number: | 2526324063 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 12/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 147129-01 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |