Debra A Mandenberg in Traverse City - Home Health
Debra A Mandenberg - NPI 1962604074
Debra A Mandenberg is a Home Health in Traverse City, Michigan. Debra A Mandenberg practices all healthcare services and medical treatments related to Home Health. The NPI Number for Debra A Mandenberg is 1962604074. The last update date is 2007-07-08.
Debra A Mandenberg's current location address is 3089 E Long Lake Rd, Traverse City, Michigan. You can contact this provider via phone number 2319293646. The mailing address for Debra A Mandenberg is 3089 E Long Lake Rd, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra A Mandenberg |
|---|---|
| Address | 3089 E Long Lake Rd, Traverse City, Michigan |
| Phone Number | 2319293646 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962604074 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3089 E Long Lake Rd |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496848582 |
| Phone Number | 2319293646 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 163Wh0200X |
| Licence No | 4704177751 |
|
Definition: A registered nurse who cares for homebound patients requiring skilled services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1043802 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Debra A Mandenberg by the Centers for Medicare & Medicaid Services?
The Debra A Mandenberg has been assigned the NPI (National Provider Identifier) 1962604074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Debra A Mandenberg?
The Debra A Mandenberg is situated at 3089 E Long Lake Rd, in the city of Traverse City, state of MI, with the zip code 496848582.
What is Debra A Mandenberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Debra A Mandenberg is Home Health, and the corresponding taxonomy classification code for this specialized field is 163Wh0200X.
On what date did the Debra A Mandenberg receive its 1962604074 assignment from the Centers for Medicare & Medicaid Services?
The Debra A Mandenberg was assigned its 1962604074 by the Centers for Medicare & Medicaid Services on 2007-06-01.
When was the information related to Debra A Mandenberg most recently updated or refreshed?
The details pertaining to the Debra A Mandenberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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