Kucera, Debra J Divelbiss

Kucera, Debra J Divelbiss is an individual health care provider with primary practice located at 411 10Th St Se , Cedar Rapids IA 52403-2442. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kucera, Debra J Divelbiss can be contacted via phone (319) 363-3600.

Contact Information

Primary practice address
411 10Th St Se Cedar Rapids IA 52403-2442
Phone: (319) 363-3600
Fax: (319) 363-9971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 057105 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C057105 Iowa

Profile Details

NPI number 1841402542
LBN Legal business name Kucera, Debra J Divelbiss
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Feb 17th, 2017 - about 7 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 1841402542 NPPES
Iowa Other 04608 WELLMARK BCBS

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