Provider Demographics
NPI:1215321302
Name:DEBONIS, JOSEPH (RN)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:DEBONIS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 454 BOX 1801
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09250-0019
Mailing Address - Country:US
Mailing Address - Phone:491522-484-8677
Mailing Address - Fax:
Practice Address - Street 1:UNIT 28747 BOX 6537
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09177-8747
Practice Address - Country:US
Practice Address - Phone:490980-283-2306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041378137163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care