Provider Demographics
NPI:1841730314
Name:YOHN, DEBBIE
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:YOHN
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 1:2406 COLUMBUS LN
Mailing Address - Street 2:APT. 215
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3594
Mailing Address - Country:US
Mailing Address - Phone:920-382-9169
Mailing Address - Fax:
Practice Address - Street 1:2406 COLUMBUS LN
Practice Address - Street 2:APT. 215
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3594
Practice Address - Country:US
Practice Address - Phone:920-382-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI178718-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse