institution
Missouri Medical Providers Llc
Psychiatric/Mental Health Nurse Practitioner in Bonne Terre, Missouri
NPI 1043817323

Missouri Medical Providers Llc is a Psychiatric/Mental Health Nurse Practitioner based in Cape Girardeau, MO and is specialized in Psychiatric/Mental Health. Missouri Medical Providers Llc practices in Bonne Terre, MO. The NPI Number for Missouri Medical Providers Llc is 1043817323 and holds a License No. (Missouri).

The current practice location address for Missouri Medical Providers Llc is 10 Lake Dr, Bonne Terre, MO and can be reached out via phone at 573-358-2800 and via fax at 573-358-1090.

Location: 10 Lake Dr, Bonne Terre, MO, 63701-4403
institution
Provider Profile Details
NPI Number
1043817323
Provider Name
Missouri Medical Providers Llc
Credential
Provider Entity Type
Organization
Address
10 Lake Dr, Bonne Terre, MO, 63701-4403
Phone Number
573-358-2800
Fax Number
573-358-1090
Provider Enumeration Date
10/08/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500090302 05 MO
1043817323 01 MO NPI
institution
Provider Business Practice Location Address Details
Address
10 Lake Dr
City
State
Zip
63628-1820
Phone Number
573-358-2800
Fax Number
573-358-1090
person
Provider Business Mailing Address Details
Address
10 Lake Dr
City
State
Zip
63628-1820
Phone Number
573-358-2800
Fax Number
573-358-1090
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Wound Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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