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Rene L. Revelle, CNP
Family Nurse Practitioner in Eldon, Missouri
NPI 1639584139

Rene L. Revelle is a Family Nurse Practitioner based in Osage Beach, MO and is specialized in Family. Rene L. Revelle practices in Eldon, MO and has the professional credentials of CNP. The NPI Number for Rene L. Revelle is 1639584139 and holds a License No. COA15919NP (Missouri).

The current practice location address for Rene L. Revelle is 304A E 4Th St, Eldon, MO and can be reached out via phone at 573-557-2400 and via fax at 573-557-2401.

Location: 304A E 4Th St, Eldon, MO, 65065-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639584139
Provider Name
Rene L. Revelle
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
304A E 4Th St, Eldon, MO, 65065-1500
Phone Number
573-557-2400
Fax Number
573-557-2401
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0105747 05 OH
3810027971 05 WV
institution
Provider Business Practice Location Address Details
Address
304A E 4Th St
City
Eldon
State
Missouri
Zip
65026-1808
Phone Number
573-557-2400
Fax Number
573-557-2401
person
Provider Business Mailing Address Details
Address
304A E 4Th St
City
Eldon
State
Missouri
Zip
65026-1808
Phone Number
573-557-2400
Fax Number
573-557-2401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA15919NP (Ohio)
Definition
Definition to come...
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