Individual
DEBORAH MEDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-PMHNP
Contact information
Practice address
860 LYNN ST, LEBANON, MO 65536-3810
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013020764
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024039002
MO
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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