Delre, Debora

Delre, Debora is an individual health care provider with primary practice located at 640 S Washington St , Naperville IL 60540-6603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Delre, Debora can be contacted via phone (815) 942-6323.

Contact Information

Primary practice address
640 S Washington St Naperville IL 60540-6603
Phone: (815) 942-6323
Fax: (779) 210-5541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209014185 Illinois

Profile Details

NPI number 1780048058
LBN Legal business name Delre, Debora
Credentials APN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated May 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780048058 NPPES
Illinois Other F400292315 MEDICARE PTAN

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