Healthcare Provider Details

I. General information

NPI: 1437316940
Provider Name (Legal Business Name): DEBORAH DELANGE M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 N COTNER BLVD SUITE 202
LINCOLN NE
68505-2339
US

IV. Provider business mailing address

630 N COTNER BLVD SUITE 202
LINCOLN NE
68505-2339
US

V. Phone/Fax

Practice location:
  • Phone: 402-464-8385
  • Fax: 402-464-8408
Mailing address:
  • Phone: 402-464-8385
  • Fax: 402-464-8408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number13
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: