Herbaugh, Debra Ann

Herbaugh, Debra Ann is an individual health care provider with primary practice located at 800 E 28Th St , Minneapolis MN 55407-3723. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Herbaugh, Debra Ann can be contacted via phone (612) 262-9000.

Contact Information

Primary practice address
800 E 28Th St Minneapolis MN 55407-3723
Phone: (612) 262-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X R1053399 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R1053399 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R1053399 Minnesota

Profile Details

NPI number 1942392014
LBN Legal business name Herbaugh, Debra Ann
Credentials CNS, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942392014 NPPES
Minnesota MEDICAID 708555900

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