Individual
CYPRESS CHEYENNE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
181 KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 257-5972
Mailing address
181 KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 257-5972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021046349
MO
Other
Enumeration date
05/24/2022
Last updated
02/09/2024
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