Individual
DEBRA MCPHETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2008
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP125411
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP125411
TX
363LG0600X
Gerontology Nurse Practitioner
AP125411
TX
Other
Enumeration date
06/18/2014
Last updated
01/25/2022
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