Individual
CARLEE ROZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 EQUINE VALLEY RD, NIXA, MO 65714-6101
(417) 207-2004
Mailing address
12411 W 70TH ST, SHAWNEE, KS 66216-2674
(417) 207-2004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
79704
KS
Other
Enumeration date
09/23/2020
Last updated
09/14/2021
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