Healthcare Provider Details

I. General information

NPI: 1609747336
Provider Name (Legal Business Name): DR. DEB'S EXPRESS MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E C ST
NORTH PLATTE NE
69101-5411
US

IV. Provider business mailing address

118 E C ST
NORTH PLATTE NE
69101-5411
US

V. Phone/Fax

Practice location:
  • Phone: 308-221-6068
  • Fax: 308-221-6071
Mailing address:
  • Phone: 308-221-6068
  • Fax: 308-221-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH R WEAVER
Title or Position: OWNER
Credential: MD
Phone: 308-221-6068