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
Phone: (636) 639-6262
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275960254 | NPPES |
Missouri | MEDICAID | 1275960254 |
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