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Individual

NATALIA ROSE MAINORD-CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1403 E MARSHALL ST, CHARLESTON, MO 63834-1446
(573) 683-2327
(573) 683-2373
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7423

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023024699
MO

Other

Enumeration date
08/03/2023
Last updated
02/24/2026
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