| Doctor Name: | DEBRA K GREMMINGER |
| NPI Number: | 1023265147 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 154686 |
| Business Practice Address: | 1400 Us Highway 61 South Crystal City, MO - 63019 |
| Business Phone Number: | 6369331111 |
| Business Fax Number: | |
| Mailing Address: | 109 Glenfield Dr, FESTUS |
| State: | MO |
| Postal Code: | 630284623 |
| Phone Number: | 6369331111 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2008 |
| NPI Last Update Date: | 08/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 154686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |