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