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Individual

DEBRA ELLEN NEUBAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7673
(574) 307-7692
Mailing address
951 TRANSPORT DR, VALPARAISO, IN 46383-8434
(219) 477-6082
(219) 465-9502

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28159543A
IN
163W00000X
Registered Nurse
566439
TX
363LF0000X
Family Nurse Practitioner
Primary
71005267A
IN

Other

Enumeration date
10/23/2014
Last updated
01/27/2015
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