Individual
MARTHA R. MUSTION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-4303
Mailing address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-4308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
096048
MO
363LF0000X
Family Nurse Practitioner
107099
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634568
—
IA
05
—
1126946
—
IA
05
—
425906310
—
MO
05
—
598277101
—
MO
Enumeration date
06/13/2005
Last updated
01/23/2013
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