Provider Demographics
NPI:1467259135
Name:HIRSCH, DEBRA SUE
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:SUE
Last Name:HIRSCH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350662 HYW 26
Mailing Address - Street 2:
Mailing Address - City:MINATARE
Mailing Address - State:NE
Mailing Address - Zip Code:69356
Mailing Address - Country:US
Mailing Address - Phone:308-631-3326
Mailing Address - Fax:
Practice Address - Street 1:350662 HYW 26
Practice Address - Street 2:
Practice Address - City:MINATARE
Practice Address - State:NE
Practice Address - Zip Code:69356-1748
Practice Address - Country:US
Practice Address - Phone:308-631-3326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider