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Nicholas Allen Locke, NP-C
Family Nurse Practitioner in Bolivar, Missouri
NPI 1841889854

Nicholas Allen Locke is a Family Nurse Practitioner based in Bolivar, MO and is specialized in Family. Nicholas Allen Locke practices in Bolivar, MO and has the professional credentials of NP-C. The NPI Number for Nicholas Allen Locke is 1841889854 and holds a License No. 2021001430 (Missouri).

The current practice location address for Nicholas Allen Locke is 3817 S Springfield Ave Ste 140, Bolivar, MO and can be reached out via phone at 417-730-3508.

Location: 3817 S Springfield Ave Ste 140, Bolivar, MO, 65613-9129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841889854
Provider Name
Nicholas Allen Locke
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
3817 S Springfield Ave Ste 140, Bolivar, MO, 65613-9129
Phone Number
417-730-3508
Fax Number
Provider Enumeration Date
01/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3817 S Springfield Ave Ste 140
City
Bolivar
State
Missouri
Zip
65613-9129
Phone Number
417-730-3508
Fax Number
person
Provider Business Mailing Address Details
Address
3817 S Springfield Ave Ste 140
City
Bolivar
State
Missouri
Zip
65613-9129
Phone Number
417-730-3508
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2021001430 (Missouri)
Definition
Definition to come...
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