Marguerite C Debello, RN PHD ACNS BC CNE

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

4704154060 Issued in MI

Practice address

5335 Kingsfield Dr
West Bloomfield, MI 48322-2037

Phone

(248) 891-1036

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1639787864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 KINGSFIELD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222037",
            "telephone_number": "248-891-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 KINGSFIELD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222037",
            "telephone_number": "248-891-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBELLO",
        "first_name": "MARGUERITE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "RN PHD  ACNS BC CNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MI",
            "license": "4704154060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mdebello@emich.edu",
            "affiliation": "N",
            "endpointDescription": "online telehealth",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "scheduling",
            "address_1": "5335 Kingsfield Dr",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483222037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Health Clinical Nurse Specialist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Adult Health Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.