MEDICARE: DEBRIEANA EGGLESTON

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	163W00000X	Registered Nurse	4704406509	MI
2	374J00000X	Doula		MI

General Provider Information

NPI Number	:	1366379521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRIEANA EGGLESTON

Provider Business Mailing Address
First Line	:	13591 MONTROSE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-1712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13591 MONTROSE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-1712
Country	:	US
Telephone Number	:	734-945-1688
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ DEBRIEANA EGGLESTON ” Practice Location

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