MRS. DEBRA BUBACK RN, MSN, ANP

Surgery Yellow Pages

Saint Louis, Missouri

Provider NPI: 1154305076

Provider Information:
MRS. DEBRA  BUBACK RN, MSN, ANP


Practice Location:
12855 N 40 DR SUITE 375 SAINT LOUIS, MO 63141 US
Tel: 314-567-6071  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	364SM0705X	Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Medical-Surgical	MO	063206

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS BLUE SHIELD	154193	MO	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin