Provider Demographics
NPI:1578013504
Name:SAPAUGH, DEBRA KAY (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:KAY
Last Name:SAPAUGH
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:KAY
Other - Last Name:BACON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, FNP-C
Mailing Address - Street 1:2517 W. HWY 32
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MO
Mailing Address - Zip Code:65560
Mailing Address - Country:US
Mailing Address - Phone:573-247-9908
Mailing Address - Fax:
Practice Address - Street 1:11593 STATE HWY 0
Practice Address - Street 2:
Practice Address - City:MINERAL POINT
Practice Address - State:MO
Practice Address - Zip Code:63660-1166
Practice Address - Country:US
Practice Address - Phone:573-438-6000
Practice Address - Fax:573-410-8353
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131500163WW0000X
NM57161363LF0000X, 163WG0000X, 163WW0000X
FLARNP9356255163WG0000X
FLAPRN9356255363LF0000X
MO2019019298208D00000X
NMAPRN57161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice