Anne Katharina Deberry
Student in an Organized Health Care Education/Training Program in Portales, NM. Individual provider (NPI-1).
NPI number1164053070
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1164053070
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Anne Katharina Deberry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1500 S Ave KStation 3, Shroc
Portales, NM 88130
Phone 575-562-2156
Mailing address
1500 S Ave KStation 3, Shroc
Portales, NM 88130
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All 121 Student in an Organized Health Care Education/Training Program providers in Portales · All 423 providers in Portales
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