Individual provider · Type 1 NPI

Mary J. Debbout, CRNA

Certified Registered Nurse Anesthetist · Green Bay, WI

NPI number 1619004025 Active

Practice location

744 S Webster Ave
Green Bay, WI 54305-3400

Mailing address

PO Box 23400
Green Bay, WI 54305-3400

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X68464-30 (WI)

Certified Registered Nurse Anesthetist: (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1619004025

Mary J. Debbout, CRNA's National Provider Identifier is 1619004025, issued on Feb 27, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Green Bay, WI. The record was last updated on Jun 25, 2010.