MRS. Debra Jean Severeide, LPN

NPI #1558652446 in Cody, Wyoming

Provider Information

NPI Number
1558652446
Entity Type
Individual
Name
MRS. Debra Jean Severeide, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 26, 2011
Last Updated
Apr 26, 2011

Practice Location

Address
34 QUARTER HORSE LN
City
Cody
State
Wyoming
ZIP Code
82414-8204
Phone
(307) 899-5754

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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