Individual
MRS. MISTY DAWN CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
555 W PINE ST, FARMINGTON, MO 63640-1439
(573) 747-1510
(573) 747-1512
Mailing address
555 W PINE ST, FARMINGTON, MO 63640-1439
(573) 747-1510
(573) 747-1512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2007018319
MO
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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