Healthcare Provider Details

I. General information

NPI: 1568763647
Provider Name (Legal Business Name): DEBORAH DUREN-SMITHEY CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11552 E 1800 RD
STOCKTON MO
65785-7465
US

IV. Provider business mailing address

11552 E 1800 RD
STOCKTON MO
65785-7465
US

V. Phone/Fax

Practice location:
  • Phone: 417-276-5015
  • Fax:
Mailing address:
  • Phone: 417-276-5015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: