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MARY J DEBBOUT CRNA
NPI 1619004025
Nurse Anesthetist, Certified Registered in Green Bay, WI

Active since February 27, 2007
744 S WEBSTER AVE, GREEN BAY, WI 54305(920) 433-5582 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary J Debbout Crna NPPES

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

MARY J DEBBOUT CRNA (NPI 1619004025) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (68464-30) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1619004025
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY J DEBBOUTCredential: CRNA
Location Address744 S WEBSTER AVEGreen Bay, WI 54305-3400
Mailing AddressPo Box 23400Green Bay, WI 54305-3400 · (920) 433-5582
Phone(920) 433-5582
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 25, 2010
✔ NPI 1619004025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 68464-30
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
744 S WEBSTER AVE, Green Bay, WI 54305
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Other Identifiers 3

Medicaid43309200WI
Medicare OSCAR/certificationR39692WI
Medicare OSCAR/certification000040WI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC MAITLAND DVORAK M.D.
Physical Medicine & Rehabilitation
744 S WEBSTER AVE
GREEN BAY, WI 54305
Brown County (920) 445-7210
MARY B FUSS CRNA
Nurse Anesthetist, Certified Registered
744 S WEBSTER AVE
GREEN BAY, WI 54305
Brown County (920) 433-5582
BEL-REGIONAL HOME MEDICAL INC
Pharmacy (Institutional Pharmacy)
744 S WEBSTER AVE
GREEN BAY, WI 54305
Brown County (920) 431-5696
JAMES EDWARD TALLEY CRNA
Nurse Anesthetist, Certified Registered
744 S WEBSTER AVE
GREEN BAY, WI 54305
Brown County (920) 433-5582

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 Mary Debbout's NPI number?

The NPI number for Mary Debbout is 1619004025. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Mary Debbout located?

Mary Debbout practices at 744 S Webster Ave, Green Bay, WI 54305. The listed phone number is (920) 433-5582.

What is Mary Debbout's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Mary Debbout was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.