Individual
KRISTINA LYNN WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
304 TEACO RD, KENNETT, MO 63857-3266
(573) 559-3591
Mailing address
304 TEACO RD, KENNETT, MO 63857-3266
(573) 559-3591
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2022036717
MO
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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