Individual
GENE PAUL NUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN BC FNP
Contact information
Practice address
108 MARKET ST, GLASGOW, MO 65254-1053
(660) 882-7461
Mailing address
17651 B HWY, BOONVILLE, MO 65233-2839
(660) 882-7461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
101440
MO
363LF0000X
Family Nurse Practitioner
Primary
101440
MO
Other
Enumeration date
03/21/2007
Last updated
06/13/2013
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