Mary Agnes Debroux, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

128334 Issued in WA

Practice address

6522 208TH St SW Apt L4
Lynnwood, WA 98036-8549

Phone

(425) 678-1390

NPI assigned

Oct 1, 2025

Last updated

Oct 1, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1902770019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 208TH ST SW APT L4",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980368549",
            "telephone_number": "719-964-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 208TH ST SW APT L4",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980368549",
            "telephone_number": "425-678-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROUX",
        "first_name": "MARY",
        "middle_name": "AGNES",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "128334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Lynne Davis, LMP
• Jin Dawa, DPT
• Danielle Day-Beddard
• Jennifer Rita Dearden, RD
• Gayle Janette Debolt-Richins, ARNP
• Kristi Marie Dechairo Ahern
• Catherine Ann Decker
• Sherrin Annette Deen
• Calina M Defebaugh, MS, CCC-SLP
• Jesse L Defelice

• Registered Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.