Individual
RUTH THRELKELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 N ROUTE B, HALLSVILLE, MO 65255-9266
(573) 696-0500
(573) 696-0509
Mailing address
501 N ROUTE B, HALLSVILLE, MO 65255-9266
(573) 696-0500
(573) 696-0509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011001368
MO
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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