Provider Demographics
NPI:1871991034
Name:STONE-CASPER, DEBRA M (RN)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:M
Last Name:STONE-CASPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2093 US HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-3669
Mailing Address - Country:US
Mailing Address - Phone:636-937-7507
Mailing Address - Fax:636-937-7597
Practice Address - Street 1:2093 US HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-3669
Practice Address - Country:US
Practice Address - Phone:636-937-7507
Practice Address - Fax:636-937-7597
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO143407163WA2000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMO101390Medicare UPIN