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Individual

MS. MICHELLE DEBELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
10120 S EASTERN AVE, STE 200, HENDERSON, NV 89052-3951
(702) 487-6880
(702) 473-5455
Mailing address
4006 LONDON BRIDGE RD, LOT 7, LAKE HAVASU CITY, AZ 86404-9703
(512) 689-5787

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN21576
NV
367500000X
Certified Registered Nurse Anesthetist
696020
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000333
NV

Other

Enumeration date
05/19/2006
Last updated
01/30/2011
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