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Individual

MEGAN ELIZABETH KRETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3441
(573) 629-3423
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 629-3441
(573) 629-3423

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041401726
IL
163W00000X
Registered Nurse
2018036838
MO
363LF0000X
Family Nurse Practitioner
Primary
2019021627
MO

Other

Enumeration date
05/07/2019
Last updated
06/20/2019
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