Mary J Debbout in Green Bay - Nurse Anesthetist, Certified Registered
Mary J Debbout - NPI 1619004025
Mary J Debbout is a Nurse Anesthetist, Certified Registered in Green Bay, Wisconsin. Mary J Debbout practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mary J Debbout is 1619004025. The last update date is 2010-06-25.
Mary J Debbout's current location address is Po Box 23400, Green Bay, Wisconsin. You can contact this provider via phone number 9204335582. The mailing address for Mary J Debbout is Po Box 23400, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary J Debbout |
|---|---|
| Address | Po Box 23400, Green Bay, Wisconsin |
| Phone Number | 9204335582 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1619004025 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
| Address | Po Box 23400 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543053400 |
| Phone Number | 9204335582 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 68464-30 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43309200 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary J Debbout?
The Mary J Debbout has been issued the NPI (National Provider Identifier) 1619004025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary J Debbout is located?
The Mary J Debbout is situated at the following address: Po Box 23400, Green Bay, WI, 543053400.
What is Mary J Debbout's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary J Debbout's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619004025 to Mary J Debbout?
The Centers for Medicare & Medicaid Services originally issued the 1619004025 to Mary J Debbout on 2007-02-27.
As of what date was the information pertaining to Mary J Debbout, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary J Debbout, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-06-25.
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