Provider Demographics
NPI:1831975275
Name:MIKLOS, DEBRA L
Entity type:Individual
Prefix:PROF
First Name:DEBRA
Middle Name:L
Last Name:MIKLOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1471 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-1231
Mailing Address - Country:US
Mailing Address - Phone:440-539-2852
Mailing Address - Fax:
Practice Address - Street 1:1471 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-1231
Practice Address - Country:US
Practice Address - Phone:440-539-2852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist