Individual provider · Type 1 NPI

Debra Marie Nettleton

Specialist · Ronkonkoma, NY

NPI number 1407119209 Active

Practice location

19 Warner Ln
Ronkonkoma, NY 11779-2109

Call (631) 676-6416 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X996138001 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407119209

Debra Marie Nettleton's National Provider Identifier is 1407119209, issued on Jun 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Jun 18, 2012.