Harrell, Deborah Ann

Harrell, Deborah Ann is an sole proprietor health care provider with primary practice located at 105 Creekside Office Dr , Wentzville MO 63385-3289. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Harrell, Deborah Ann can be contacted via phone (636) 639-6262.

Contact Information

Primary practice address
105 Creekside Office Dr Wentzville MO 63385-3289
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2013030779 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F0813261 Missouri

Profile Details

NPI number 1275960254
LBN Legal business name Harrell, Deborah Ann
Credentials MSN,APRN FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2013
Last updated Oct 21st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275960254 NPPES
Missouri MEDICAID 1275960254

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