Individual
DEBRA SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
365192
CA
163WE0900X
Enterostomal Therapy Registered Nurse
2005455030
WI
163WW0000X
Wound Care Registered Nurse
2005455030
WI
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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