MEDICARE: DEBRA PAINTER NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	28170283A	IN
2	363LF0000X	Family Nurse Practitioner	71008590A	IN

General Provider Information

NPI Number	:	1952877144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA PAINTER NP-C

Provider Business Mailing Address
First Line	:	PO BOX 556
Second Line	:
City	:	VINCENNES
State	:	IN
Zip	:	47591-0556
Country	:	US
Telephone Number	:	812-494-9501
Fax Number	:	812-494-9502

Provider Business Practice Location Address
First Line	:	1027 WASHINGTON AVE
Second Line	:
City	:	VINCENNES
State	:	IN
Zip	:	47591-2240
Country	:	US
Telephone Number	:	812-494-7500
Fax Number	:	812-494-7600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	03/27/2024

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