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Sandra Lee Mitkos, FNP
Family Nurse Practitioner in Potosi, Missouri
NPI 1790015527

Sandra Lee Mitkos is a Family Nurse Practitioner based in Potosi, MO and is specialized in Family. Sandra Lee Mitkos practices in Potosi, MO and has the professional credentials of FNP. The NPI Number for Sandra Lee Mitkos is 1790015527 and holds a License No. 2009036279 (Missouri).

The current practice location address for Sandra Lee Mitkos is 108 Frizzell St, Potosi, MO and can be reached out via phone at 573-438-5408 and via fax at 573-438-2419.

Location: 108 Frizzell St, Potosi, MO, 63664-1420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790015527
Provider Name
Sandra Lee Mitkos
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
108 Frizzell St, Potosi, MO, 63664-1420
Phone Number
573-438-5408
Fax Number
573-438-2419
Provider Enumeration Date
12/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Frizzell St
City
Potosi
State
Missouri
Zip
63664-1505
Phone Number
573-438-5408
Fax Number
573-438-2419
person
Provider Business Mailing Address Details
Address
108 Frizzell St
City
Potosi
State
Missouri
Zip
63664-1505
Phone Number
573-438-5408
Fax Number
573-438-2419
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2009036279 (Missouri)
Definition
Definition to come...
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