Provider Demographics
NPI:1285038042
Name:EGGERS, DEBRA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:EGGERS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:BIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1203 SMIZER MILL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-3483
Mailing Address - Country:US
Mailing Address - Phone:636-717-1350
Mailing Address - Fax:636-717-1355
Practice Address - Street 1:1203 SMIZER MILL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-3483
Practice Address - Country:US
Practice Address - Phone:636-717-1350
Practice Address - Fax:636-717-1355
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014026221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily