Individual
MRS. KATELYN ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 S ASH ST, NEVADA, MO 64772-3218
(417) 448-3600
Mailing address
800 S ASH ST, NEVADA, MO 64772-3224
(417) 667-3355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020024672
MO
Other
Enumeration date
07/29/2020
Last updated
08/27/2020
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