| Doctor Name: | MRS. DEBRA MCMIRE |
| NPI Number: | 1154407302 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN FNPC |
| License Number: | NN070868 |
| Business Practice Address: | 824 N Black Horse Pike Minute Clinic Runnemede, NJ - 080781034 |
| Business Phone Number: | 8569395656 |
| Business Fax Number: | 8563120265 |
| Mailing Address: | 6 Ardsley Place, HAINESPORT |
| State: | NJ |
| Postal Code: | 08036 |
| Phone Number: | 6092673788 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NN070868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |