Individual
MS. ALLISON GODCHAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
405 E MAIN ST, FAIRFAX, MO 64446-8155
(660) 686-2211
Mailing address
4822 DEARBORN ST, MISSION, KS 66202-1704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
150970
MO
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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