Individual
SAVANNAH COIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-8413
Mailing address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-8413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015019741
MO
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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