Individual
LARISSA ROSE O'KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
200 CORPORATE LAKE DR, COLUMBIA, MO 65203-7172
(573) 814-1170
Mailing address
4823 LOYALIST LN, ASHLAND, MO 65010-9418
(573) 301-2532
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2023040439
MO
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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