Provider Demographics
NPI:1760709554
Name:VIERLING, DEBRA (RN, CMT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:VIERLING
Suffix:
Gender:F
Credentials:RN, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:691 TEKULVE RD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-8982
Mailing Address - Country:US
Mailing Address - Phone:812-934-6282
Mailing Address - Fax:812-933-0720
Practice Address - Street 1:691 TEKULVE RD
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-8982
Practice Address - Country:US
Practice Address - Phone:812-934-6282
Practice Address - Fax:812-933-0720
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28118068A163WM1400X
INMT20901186163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)