Individual
BRENDA GOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3103 HH HIGHWAY, SALEM, MO 65560
(573) 729-2605
Mailing address
3103 HH HIGHWAY, SALEM, MO 65560
(573) 729-2605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017044029
MO
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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