Healthcare Provider Details

I. General information

NPI: 1598750879
Provider Name (Legal Business Name): DEBRA D SEHR CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 SPARKS AVE SUITE 407
JEFFERSONVILLE IN
47130-3739
US

IV. Provider business mailing address

207 SPARKS AVE SUITE 407
JEFFERSONVILLE IN
47130-3739
US

V. Phone/Fax

Practice location:
  • Phone: 812-282-0637
  • Fax: 812-283-6330
Mailing address:
  • Phone: 812-282-0637
  • Fax: 812-283-6330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number993249
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: