Provider Demographics
NPI:1376821652
Name:STAPLES, DEBRA KAY (RN, NP-C (FNP))
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:KAY
Last Name:STAPLES
Suffix:
Gender:F
Credentials:RN, NP-C (FNP)
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:STAPLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, NP-C (FNP)
Mailing Address - Street 1:107 1/2 SWIFT STREET
Mailing Address - Street 2:REFUGIO RURAL HEALTH CLINIC
Mailing Address - City:REFUGIO
Mailing Address - State:TX
Mailing Address - Zip Code:78377
Mailing Address - Country:US
Mailing Address - Phone:361-526-5328
Mailing Address - Fax:361-526-5670
Practice Address - Street 1:107 1/2 SWIFT STREET
Practice Address - Street 2:REFUGIO RURAL HEALTH CLINIC
Practice Address - City:REFUGIO
Practice Address - State:TX
Practice Address - Zip Code:78377
Practice Address - Country:US
Practice Address - Phone:361-526-5328
Practice Address - Fax:361-526-5670
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX618594363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner