DEBRA NEWBOLDS


Address: 117 Weisbrook Ln, Carterville, IL 62918-2320
Phone: 6187271977

DEBRA NEWBOLDS (NPI# 1114384583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114384583
Entity Type Individual
Full Name DEBRA NEWBOLDS
Practice Address 117 Weisbrook Ln
Carterville
IL 62918-2320
Practice Telephone 6187271977
Mailing Telephone 6187271977
Enumeration Date 2016-01-15
Last Update Date 2016-01-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
041259452 IL Nursing Service Providers

Office Location

Street Address 117 WEISBROOK LN
City CARTERVILLE
State IL
Zip Code 62918-2320

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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

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1093022360 Andrea Gebhart Registered Nurse 3722 S. Harlem Ave., Suite 202, Riverside, IL 60546 2010-09-08
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Competitor

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City CARTERVILLE
Zip Code 62918

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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