Individual
DEBRA S NETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
1230 E MAIN ST PO BOX 8674, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1284252
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104221
MEDICA
MN
01
—
0120539
MEDICA
MN
01
—
02Q97NE
BCBS
MN
01
—
124684
UCARE
MN
01
—
2380346
AMERICAS PPO
MN
01
—
410849339 56001 C112
CHAMPUS
—
05
—
459816400
—
MN
01
—
500009849
RR MEDICARE
—
05
—
938357
—
IA
01
—
HP42077
HEALTH PARTNERS
MN
01
—
NA2951023876
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
09/22/2011
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