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Search › Idaho › 101YM0800X

Debra Nelson

NPI 1881310043 · on the registry since 2022 · sole proprietor

Practice

Address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404
Phone
(208) 419-3002
Organisation at this address
Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho