MRS. DEBRA BUBACK RN MSN ANP NPI 1154305076

NPI Information

NPI: 1154305076
Provider Name: MRS. DEBRA BUBACK, RN, MSN, ANP
Classification: Clinical Nurse Specialist - 364SM0705X
Specialization: Medical-Surgical
Entity Type: Individual
Address: 12855 N 40 DR
SUITE 375
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 567-6071

Map and Directions

Get Directions

NPI Details

MRS. Debra Buback, RN, MSN, ANP is a medical-surgical clinical nurse specialist in Saint Louis, MO. MRS. Debra Buback, RN, MSN, ANP NPI is 1154305076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12855 N 40 DR
SUITE 375
SAINT LOUIS, MO
ZIP 63141-635
Phone: (314) 567-6071
Fax: (314) 567-7961

The enumeration date for this NPI number is 12/5/2005 and was last updated on 2/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	063206	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P90315	MEDICARE UPIN	MISSOURI
2	154193	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI