Individual
DEBRA G FELDERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
070648
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22413068
BLUE CROSS BLUE SHIHELD
MO
05
—
915064406
—
MO
01
—
P00223555
RAILROAD MEDICARE
MO
Enumeration date
03/14/2006
Last updated
10/16/2008
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