Provider Demographics
NPI:1811015449
Name:KNISPEL, DEBORAH JEANNETTE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JEANNETTE
Last Name:KNISPEL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:JEANNETTE
Other - Last Name:SCHWAB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSE PRACTICAL NU
Mailing Address - Street 1:25586 SOUTH DAKOTA HWY 44
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER
Mailing Address - State:SD
Mailing Address - Zip Code:57579
Mailing Address - Country:US
Mailing Address - Phone:605-259-3446
Mailing Address - Fax:
Practice Address - Street 1:400 SOLDIER CREEK ROAD
Practice Address - Street 2:
Practice Address - City:ROSEBUD
Practice Address - State:SD
Practice Address - Zip Code:57570-0400
Practice Address - Country:US
Practice Address - Phone:605-747-3245
Practice Address - Fax:605-747-5348
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE53860163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse