Individual
MRS. JORDAN BROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
946 E REED ST, HAYTI, MO 63851-1243
(573) 359-1372
Mailing address
946 E REED ST, HAYTI, MO 63851-1243
(573) 359-1372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022008047
MO
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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