IndividualActive
Debra Newbolds
NPI 1114384583 · Diabetes Educator Registered Nurse · Carterville, IL
Provider details
- NPI number
- 1114384583
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041259452 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
117 Weisbrook Ln
Carterville, IL 62918-2320
Phone: (618) 727-1977
Approximate (ZIP-level) locationGet directions
Mailing address
117 Weisbrook Ln
Carterville, IL 62918-2320
Registry dates
- Enumerated
- 2016-01-15
- Last updated
- 2016-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.