Individual
MS. DEBORAH A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC, FNP
Contact information
Practice address
2441 MYRA DR, CAPE GIRARDEAU, MO 63703-5803
(573) 803-0919
(573) 803-0879
Mailing address
1940 GARRETT DR, CAPE GIRARDEAU, MO 63701-2741
(573) 225-2442
(573) 339-7887
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
121037
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429387509
—
MO
01
—
P00283737
RR MEDICARE
MO
Enumeration date
05/24/2006
Last updated
03/04/2024
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