Individual
MRS. JAIME NICOLE DEBRABANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0034961
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00629
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231965ZAD5
MEDICARE PTAN
DE
01
—
P01014405
MEDICARE RAIL ROAD PTAN
DE
Enumeration date
08/31/2011
Last updated
05/03/2018
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