Nygren, Debora Ann

Nygren, Debora Ann is an individual health care provider with primary practice located at 1909 N Whitcomb Ave , Indianapolis IN 46224-5540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nygren, Debora Ann can be contacted via phone (317) 809-8242.

Contact Information

Primary practice address
1909 N Whitcomb Ave Indianapolis IN 46224-5540
Phone: (317) 809-8242
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001404A Indiana

Profile Details

NPI number 1487616108
LBN Legal business name Nygren, Debora Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 8th, 2024 - about 9 months 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 1487616108 NPPES
Indiana MEDICAID 300006064

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