Individual provider · Type 1 NPI

Debra A. Mandenberg

Home Health Registered Nurse · Traverse City, MI

NPI number 1962604074 Active

Practice location

3089 E Long Lake Rd
Traverse City, MI 49684-8582

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X4704177751 (MI)

Home Health Registered Nurse: Definition to come...

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About NPI 1962604074

Debra A. Mandenberg's National Provider Identifier is 1962604074, issued on Jun 1, 2007. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Traverse City, MI. The record was last updated on Jul 8, 2007.