Individual
GLENDA CHARLENE COUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11 S DIVISION ST STE A, BONNE TERRE, MO 63628-1701
(573) 723-1100
(573) 723-1130
Mailing address
11 S DIVISION ST STE A, BONNE TERRE, MO 63628-1701
(573) 723-1100
(573) 723-1130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
139873
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215258744
—
MO
Enumeration date
06/18/2010
Last updated
12/08/2022
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