Individual
HEATHER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
14986 COUNTY ROAD 81, REVERE, MO 63465-1125
(660) 216-9026
Mailing address
14986 COUNTY ROAD 81, REVERE, MO 63465-1125
(660) 216-9026
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM24030416
MO
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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