Individual
MEGAN RENE QUELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
960 E WALNUT LAWN ST STE 201, SPRINGFIELD, MO 65807-7865
(417) 269-4450
(417) 269-4470
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020029129
MO
363LF0000X
Family Nurse Practitioner
237662
AZ
Other
Enumeration date
02/03/2020
Last updated
03/26/2021
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