Debbie Query, LM, CPM
Individual provider Active NPI Midwife · Gravette, AR
NPI 1346780095 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1346780095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 15110017 (TN)
- Practice address
- 401 2ND Ave SE
Gravette, AR 72736-9463 - Phone
- (479) 787-5176
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15110017 | TN | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 15110017 | TN | Yes |
Addresses
Primary practice location
401 2ND Ave SE
Gravette, AR 72736-9463
Mailing address
401 2ND Ave SE
Gravette, AR 72736-9463
Phone (479) 787-5176
Other providers in Gravette, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.