Provider Demographics
NPI:1992188288
Name:RIEGER, DEBRA L (FNP)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:L
Last Name:RIEGER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8820 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2602
Mailing Address - Country:US
Mailing Address - Phone:314-963-8100
Mailing Address - Fax:314-963-8303
Practice Address - Street 1:8820 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MO
Practice Address - Zip Code:63144-2602
Practice Address - Country:US
Practice Address - Phone:314-963-8100
Practice Address - Fax:314-963-8303
Is Sole Proprietor?:No
Enumeration Date:2015-07-04
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209014916363LF0000X
MO2015011478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily