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Inta Davidyuk, FNP
Family Nurse Practitioner in Bolivar, Missouri
NPI 1902577141

Inta Davidyuk is a Family Nurse Practitioner based in Bolivar, MO and is specialized in Family. Inta Davidyuk practices in Bolivar, MO and has the professional credentials of FNP. The NPI Number for Inta Davidyuk is 1902577141 and holds a License No. 2021021667 (Missouri).

The current practice location address for Inta Davidyuk is 3817 S Springfield Ave Ste 140, Bolivar, MO and can be reached out via phone at 417-422-4769.

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
1902577141
Provider Name
Inta Davidyuk
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3817 S Springfield Ave Ste 140, Bolivar, MO, 65613-9129
Phone Number
417-422-4769
Fax Number
Provider Enumeration Date
09/27/2021
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
417-422-4769
Fax Number
person
Provider Business Mailing Address Details
Address
3817 S Springfield Ave Ste 140
City
Bolivar
State
Missouri
Zip
65613-9129
Phone Number
417-422-4769
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2021021667 (Missouri)
Definition
Definition to come...
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