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Individual

CRYSTAL I. IWUCHUKWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-BC

Contact information

Practice address
1723 BROADWAY ST STE 310, CAPE GIRARDEAU, MO 63701-4556
(573) 381-2081
(573) 331-7849
Mailing address
1723 BROADWAY ST STE 310, CAPE GIRARDEAU, MO 63701-4556
(573) 381-2081
(573) 331-7849

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015008652
MO

Other

Enumeration date
08/25/2017
Last updated
08/25/2017
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