Individual
DEBORAH L NIEDERHUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 W 4TH ST., MANSFIELD, OH 44902
(419) 522-4969
Mailing address
40 W 4TH ST, MANSFIELD, OH 44902-1206
(419) 522-4969
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN.343117
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.343117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790735462
NPI
OH
05
—
2263910
—
OH
Enumeration date
08/17/2017
Last updated
07/21/2022
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