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NPI Code Detail

MEDICARE: DEBRA A HOAG APRN

MEDICARE:   DEBRA A HOAG  APRN
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
1363L00000XNurse Practitioner111795NE
2363LW0102XWomen's Health Nurse PractitionerF091641IA

General Provider Information

NPI Number : 1639565328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA A HOAG APRN
Provider Business Mailing Address
First Line : 11819 MIRACLE HILLS DR
Second Line :
City : OMAHA
State : NE
Zip : 68154-5308
Country : US
Telephone Number : 402-201-2373
Fax Number : 402-201-2432
Provider Business Practice Location Address
First Line : 11819 MIRACLE HILLS DR
Second Line :
City : OMAHA
State : NE
Zip : 68154-5308
Country : US
Telephone Number : 402-201-2373
Fax Number : 402-201-2432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2015
Last Update Date : 01/19/2022

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