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Fisher Wadlow
Family Nurse Practitioner in Farmington, Missouri
NPI 1588421663

Fisher Wadlow is a Family Nurse Practitioner based in Park Hills, MO and is specialized in Family. Fisher Wadlow practices in Farmington, MO. The NPI Number for Fisher Wadlow is 1588421663 and holds a License No. 2024010299 (Missouri).

The current practice location address for Fisher Wadlow is 534 Maple Valley Dr, Farmington, MO and can be reached out via phone at 573-760-8253.

Location: 534 Maple Valley Dr, Farmington, MO, 63601-0872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588421663
Provider Name
Fisher Wadlow
Credential
Provider Entity Type
Individual
Gender
Male
Address
534 Maple Valley Dr, Farmington, MO, 63601-0872
Phone Number
573-760-8253
Fax Number
Provider Enumeration Date
03/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
534 Maple Valley Dr
City
Farmington
State
Missouri
Zip
63640-1981
Phone Number
573-760-8253
Fax Number
person
Provider Business Mailing Address Details
Address
534 Maple Valley Dr
City
Farmington
State
Missouri
Zip
63640-1981
Phone Number
573-760-8253
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2024010299 (Missouri)
Definition
Definition to come...
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