Individual
MRS. DEBORAH CAROL NETHERCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1621 W BEARDSLEY AVE, ELKHART, IN 46514-1825
(574) 206-4156
Mailing address
1621 W BEARDSLEY AVE, ELKHART, IN 46514-1825
(574) 206-4156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008316A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018480
—
IN
Enumeration date
07/02/2018
Last updated
04/14/2023
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