MEDICARE: PATRICIA LYNNE DEBRUIN CNP

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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.07926	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00448395	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2793535	OTHER	OH	OHIO MEDICAD MOLINA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083696215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LYNNE DEBRUIN CNP

Provider Business Mailing Address
First Line	:	90 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1560
Country	:	US
Telephone Number	:	855-446-5937
Fax Number	:	740-589-3123

Provider Business Practice Location Address
First Line	:	2131 EAST STATE STREET
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-2857
Country	:	US
Telephone Number	:	740-589-3100
Fax Number	:	740-589-3127

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	04/22/2025

Similar Medicare Providers

1932102985 — DR. MARK TERRY ROTHSTEIN M.D.
Practice Location Address:

75 HOSPITAL DR , SUITE 350
ATHENS, OH
45701-2857

Practice Phone: 740-592-4491
Practice Fax: 740-592-4844

1316940364 — DR. GEETHA CONJEEVARAM M.D.
Practice Location Address:

75 HOSPITAL DR , SUITE 350
ATHENS, OH
45701-2857

Practice Phone: 740-592-4491
Practice Fax: 740-592-4844

1710980768 — DR. JOHN PHILIP ORTMAN M.D.
Practice Location Address:

75 HOSPITAL DR , SUITE 350
ATHENS, OH
45701-2857

Practice Phone: 740-592-4491
Practice Fax: 740-592-4844

1982607925 — DR. UMAMAHESH YELLAMRAJU M.D.
Practice Location Address:

75 HOSPITAL DR , SUITE 350
ATHENS, OH
45701-2857

Practice Phone: 740-592-4491
Practice Fax: 749-592-4844

1881686293 — ATHENS SURGERY CENTER LTD
Practice Location Address:

75 HOSPITAL DR , SUITE 100
ATHENS, OH
45701-2857

Practice Phone: 740-566-4500
Practice Fax: 740-566-4501

1184618027 — RANDALL A COLUCCI DO
Practice Location Address:

75 HOSPITAL DR , SUITE 200, CASTROP CENTER
ATHENS, OH
45701-2857

Practice Phone: 740-566-4880
Practice Fax: 740-566-4881

1982690814 — DR. JEFFREY FLOYD MCADOO MD
Practice Location Address:

75 HOSPITAL DR , SUITE 110
ATHENS, OH
45701-2857

Practice Phone: 740-592-4461
Practice Fax: 740-592-5899

Directions to “ PATRICIA LYNNE DEBRUIN CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.