Organization
FOCUSED WOUND CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRIGINIA ANN MEZEI RN, ANP-CS (OWNER)
(636) 357-5455
Entity
Organization
Contact information
Practice address
263 CLAY ST, AUGUSTA, MO 63332-1018
(636) 357-5455
(636) 482-4864
Mailing address
263 CLAY ST, AUGUSTA, MO 63332-1018
(636) 357-5455
(636) 482-4864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
135280
MO
Other
Enumeration date
12/09/2006
Last updated
08/22/2020
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