Individual
DEBRA C. PANKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
305 RHODE ISLAND, KING CITY, MO 64463-0278
(660) 535-4347
(660) 535-6240
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-6818
(816) 232-2991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103547
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288780D
—
KS
05
—
428705339
—
MO
Enumeration date
03/09/2006
Last updated
11/10/2021
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