Provider Demographics
NPI:1346780095
Name:QUERY, DEBBIE (LM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:QUERY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 2ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAVETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72736-9463
Mailing Address - Country:US
Mailing Address - Phone:479-787-5176
Mailing Address - Fax:
Practice Address - Street 1:401 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:GRAVETTE
Practice Address - State:AR
Practice Address - Zip Code:72736-9463
Practice Address - Country:US
Practice Address - Phone:479-787-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15110017176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife