Individual
BRANDI PAIGE WHETZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3105 MCCLELLAND BLVD, JOPLIN, MO 64804-1640
(417) 347-5400
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-3474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022022472
MO
390200000X
Student in an Organized Health Care Education/Training Program
13-144794-042
KS
Other
Enumeration date
07/28/2020
Last updated
07/11/2022
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