Provider Demographics
NPI:1578361952
Name:MCINTYRE, DEBRA JEAN
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:MCINTYRE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 300TH ST
Mailing Address - Street 2:
Mailing Address - City:PRIMROSE
Mailing Address - State:NE
Mailing Address - Zip Code:68655-5021
Mailing Address - Country:US
Mailing Address - Phone:308-370-1283
Mailing Address - Fax:
Practice Address - Street 1:1338 300TH ST
Practice Address - Street 2:
Practice Address - City:PRIMROSE
Practice Address - State:NE
Practice Address - Zip Code:68655-5021
Practice Address - Country:US
Practice Address - Phone:308-396-1684
Practice Address - Fax:308-396-1684
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider