Individual
MRS. DEBRA LYNN BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
2117 ARTHUR DR, EDGERTON, WI 53534-9426
(608) 884-6097
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
99033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43302900
—
WI
01
—
BINGHDEB
MERCYCARE
WI
Enumeration date
01/08/2007
Last updated
07/08/2007
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