MRS. JOHANNA LISETTE DEBRUYN MSN, RN, PHN
NPI 1467217703
Registered Nurse - School in Palm Springs, CA
Active since February 15, 2024
150 DISTRICT CENTER DR, PALM SPRINGS, CA 92264(760) 835-9836(760) 325-8730 Get Directions Write a Review
About Mrs. Johanna Lisette Debruyn Msn, Rn, Phn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JOHANNA LISETTE DEBRUYN MSN, RN, PHN (NPI 1467217703) is an individual school provider in Palm Springs, California, licensed in California (802986) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1467217703
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMRS. JOHANNA LISETTE DEBRUYNCredential: MSN, RN, PHN
Location Address150 DISTRICT CENTER DRPalm Springs, CA 92264-3626
Mailing Address708 Amber Sky StBanning, CA 92220-3729 · (909) 844-6563
Phone(760) 835-9836
Fax(760) 325-8730
Sole ProprietorNo
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1467217703 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in CA · 802986
150 DISTRICT CENTER DR, Palm Springs, CA 92264
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467217703, enumerated as an "individual" on February 15, 2024.
The provider is located at 150 DISTRICT CENTER DR PALM SPRINGS, CA 92264 and the phone number is (760) 835-9836.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
