Individual
DEBRA S PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
686 LESTER ST, POPLAR BLUFF, MO 63901-5025
(573) 686-2411
(573) 778-7271
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
089868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500003495
TRAVELERS MEDICARE
—
Enumeration date
01/06/2006
Last updated
03/04/2021
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