Individual
NITA ANN PRIDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N BRIDGE ST, SMITHVILLE, MO 64089-8176
(816) 532-6338
Mailing address
112 N BRIDGE ST, SMITHVILLE, MO 64089-8176
(816) 532-6338
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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