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Individual
PATRICIA LYNNE DEBRUIN
Active
Individual
PATRICIA LYNNE DEBRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.07926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230055
OHIO MEDICAID UNISON
OH
01
—
2793535
OHIO MEDICAD MOLINA
OH
05
—
2793535
—
OH
05
—
3810010757
—
WV
01
—
P00448395
RAILROAD MEDICARE
—
Enumeration date
11/15/2005
Last updated
04/22/2025
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