Provider Demographics
NPI:1679465504
Name:DAMMAN, DEBRA
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:DAMMAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:PICKRELL
Mailing Address - State:NE
Mailing Address - Zip Code:68422-0065
Mailing Address - Country:US
Mailing Address - Phone:402-541-7605
Mailing Address - Fax:
Practice Address - Street 1:205 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:PICKRELL
Practice Address - State:NE
Practice Address - Zip Code:68422-3000
Practice Address - Country:US
Practice Address - Phone:402-541-7605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant