Individual
DEBRA GAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, CPNP-PC
Contact information
Practice address
2412 FORUM BLVD, SUITE 201, COLUMBIA, MO 65203-6364
(573) 445-0725
(573) 445-1027
Mailing address
2412 FORUM BLVD, SUITE 201, COLUMBIA, MO 65203-6364
(573) 445-0725
(573) 445-1027
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
068988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068988
STATE OF MISSOURI
MO
Enumeration date
12/31/2013
Last updated
12/31/2013
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