MRS. DEBRA MARIE NETTLETON
NPI 1407119209
Specialist in Ronkonkoma, NY

Q: What is Debra Nettleton's NPI number?

The NPI number for Debra Nettleton is 1407119209. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Debra Nettleton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Debra Nettleton was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2012

19 WARNER LN, RONKONKOMA, NY 11779(631) 676-6416 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Debra Marie Nettleton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEBRA MARIE NETTLETON (NPI 1407119209) is an individual specialist in Ronkonkoma, New York, licensed in New York (996138001) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1407119209

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. DEBRA MARIE NETTLETON

Location Address19 WARNER LNRonkonkoma, NY 11779-2109

Mailing Address19 Warner LnRonkonkoma, NY 11779-2109 · (631) 676-6416

Phone(631) 676-6416

Sole ProprietorYes

Enumeration DateJune 18, 2012

✔ NPI 1407119209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 996138001

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

19 WARNER LN, Ronkonkoma, NY 11779

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Nettleton's NPI number?

The NPI number for Debra Nettleton is 1407119209. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Debra Nettleton located?

Debra Nettleton practices at 19 Warner Ln, Ronkonkoma, NY 11779. The listed phone number is (631) 676-6416.

What is Debra Nettleton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Debra Nettleton was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.