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NPI Code Detail

MEDICARE: MERCEDES DEBOWEY RN

MEDICARE: MERCEDES DEBOWEY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN76966ME

General Provider Information

NPI Number : 1225981780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES DEBOWEY RN
Provider Business Mailing Address
First Line : 28 SCARPONI DR
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-7505
Country : US
Telephone Number : 315-542-9765
Fax Number :
Provider Business Practice Location Address
First Line : 127 MAIN ST
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2647
Country : US
Telephone Number : 207-630-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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