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Debra A Mandenberg
Home Health Registered Nurse in Traverse City, Michigan
NPI 1962604074

Debra A Mandenberg is a Home Health Registered Nurse based in Traverse City, MI and is specialized in Home Health. Debra A Mandenberg practices in Traverse City, MI. The NPI Number for Debra A Mandenberg is 1962604074 and holds a License No. 4704177751 (Michigan).

The current practice location address for Debra A Mandenberg is 3089 E Long Lake Rd, Traverse City, MI and can be reached out via phone at 231-929-3646.

Location: 3089 E Long Lake Rd, Traverse City, MI, 49684-8582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962604074
Provider Name
Debra A Mandenberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
3089 E Long Lake Rd, Traverse City, MI, 49684-8582
Phone Number
231-929-3646
Fax Number
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043802 05 MI
institution
Provider Business Practice Location Address Details
Address
3089 E Long Lake Rd
City
Traverse City
State
Michigan
Zip
49684-8582
Phone Number
231-929-3646
Fax Number
person
Provider Business Mailing Address Details
Address
3089 E Long Lake Rd
City
Traverse City
State
Michigan
Zip
49684-8582
Phone Number
231-929-3646
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
4704177751 (Michigan)
Definition
Definition to come...
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