Individual
DEIRDRE L NIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACITI
Contact information
Practice address
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-2977
(573) 438-2874
Mailing address
300 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-2977
(573) 438-2874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
124134
MO
Other
Enumeration date
08/20/2009
Last updated
06/17/2014
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