Individual
TAMI J HOVERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
(816) 347-2400
Mailing address
600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
(816) 347-2400
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
125243
MO
163WG0600X
Gerontology Registered Nurse
Primary
125243
MO
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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