Evans, Deborah A

Evans, Deborah A is an sole proprietor health care provider with primary practice located at 2441 Myra Dr , Cape Girardeau MO 63703-5803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Evans, Deborah A can be contacted via phone (573) 803-0919.

Contact Information

Primary practice address
2441 Myra Dr Cape Girardeau MO 63703-5803
Fax: (573) 803-0879
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 121037 Missouri

Profile Details

NPI number 1366497604
LBN Legal business name Evans, Deborah A
Credentials APRN,BC, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Mar 4th, 2024 - about 2 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 1366497604 NPPES
Missouri Other P00283737 RR MEDICARE
Missouri MEDICAID 429387509 RR MEDICARE

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