Individual
ETHEL MARIE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MPH, BSN, CDE
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4264
(417) 269-4265
Mailing address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-3900
(417) 269-8260
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
152849
MO
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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