Individual
DEBBRA BERSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1439 S MINTER WAY, GRAIN VALLEY, MO 64029-9648
(816) 404-6785
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2634
(816) 404-8188
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
117508
MO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
117508
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254878614
—
MO
Enumeration date
03/22/2006
Last updated
11/19/2020
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