Organization
EMPOWERME NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
1520 E BATES, SPRINGFIELD, MO 65804-8425
(844) 502-7996
Mailing address
PO BOX 736522, DALLAS, TX 75373-6522
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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