Healthcare Provider Details

I. General information

NPI: 1851398044
Provider Name (Legal Business Name): DEBBIE L. FREELS RN, MSN, FNP-BC, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E ALLEN ST STE A
KNOB NOSTER MO
65336
US

IV. Provider business mailing address

403 BURKARTH RD
WARRENSBURG MO
64093-3101
US

V. Phone/Fax

Practice location:
  • Phone: 660-563-5555
  • Fax: 660-563-5558
Mailing address:
  • Phone: 660-563-5555
  • Fax: 660-563-5558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2011036528
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number121074
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: