Provider Demographics
NPI:1225106974
Name:GRAESSER, DEBRA K (PA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:K
Last Name:GRAESSER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY HEALTH CENTER
Mailing Address - Street 2:PO BOX 880618
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68588-0618
Mailing Address - Country:US
Mailing Address - Phone:402-472-5000
Mailing Address - Fax:402-472-4593
Practice Address - Street 1:15TH & U STREETS
Practice Address - Street 2:UNIVERSITY HEALTH CENTER
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588-0618
Practice Address - Country:US
Practice Address - Phone:402-472-5000
Practice Address - Fax:402-472-4593
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE174207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine