Individual
MARY C DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9784 N ASH AVENUE, KANSAS CITY, MO 64157
(816) 781-4244
(816) 781-3542
Mailing address
1210 S LA FRENZ RD, LIBERTY, MO 64068-8352
(816) 781-4178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
092099
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110171
IOWA ADVANCED NURSING LICENSE
IA
Enumeration date
03/14/2007
Last updated
11/21/2012
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