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Oma L Shelton, CFNP
Family Nurse Practitioner in Bolivar, Missouri
NPI 1083679104

Oma L Shelton is a Family Nurse Practitioner based in Bolivar, MO and is specialized in Family. Oma L Shelton practices in Bolivar, MO and has the professional credentials of CFNP. The NPI Number for Oma L Shelton is 1083679104 and holds a License No. 080074 (Missouri).

The current practice location address for Oma L Shelton is 2230 S Springfield Ave, Bolivar, MO and can be reached out via phone at 417-777-4800.

Location: 2230 S Springfield Ave, Bolivar, MO, 65613-0939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083679104
Provider Name
Oma L Shelton
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
2230 S Springfield Ave, Bolivar, MO, 65613-0939
Phone Number
417-777-4800
Fax Number
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083679104 05 MO
institution
Provider Business Practice Location Address Details
Address
2230 S Springfield Ave
City
Bolivar
State
Missouri
Zip
65613-9133
Phone Number
417-777-4800
Fax Number
person
Provider Business Mailing Address Details
Address
2230 S Springfield Ave
City
Bolivar
State
Missouri
Zip
65613-9133
Phone Number
417-777-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
080074 (Missouri)
Definition
Definition to come...
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