Provider Demographics
NPI:1538590294
Name:ERBER, DEBRA L (RN)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:ERBER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 LIVINGSTON BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-8351
Mailing Address - Country:US
Mailing Address - Phone:989-732-6292
Mailing Address - Fax:989-732-0780
Practice Address - Street 1:800 LIVINGSTON BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-8351
Practice Address - Country:US
Practice Address - Phone:989-732-6292
Practice Address - Fax:989-732-0780
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704165587163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse