Provider Demographics
NPI:1437193133
Name:MCCONVILLE, DEBRA E (ARNP, BC, CDE)
Entity Type:Individual
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First Name:DEBRA
Middle Name:E
Last Name:MCCONVILLE
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Gender:F
Credentials:ARNP, BC, CDE
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Mailing Address - Street 1:2790 CLAY EDWARDS DR STE 1250
Mailing Address - Street 2:C/O HELLMAN & ROSEN ENDOCRINE
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3260
Mailing Address - Country:US
Mailing Address - Phone:816-421-3700
Mailing Address - Fax:816-421-1654
Practice Address - Street 1:2790 CLAY EDWARDS DR STE 1250
Practice Address - Street 2:C/O HELLMAN & ROSEN ENDOCRINE
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3260
Practice Address - Country:US
Practice Address - Phone:816-421-3700
Practice Address - Fax:816-421-1654
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-05-20
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Provider Licenses
StateLicense IDTaxonomies
MO091424363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00924438OtherRAILROAD MEDICARE PTAN
MO402000002Medicare PIN
P06556Medicare UPIN
MO402000024Medicare PIN