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Individual

PATRICIA A CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS/ARNP

Contact information

Practice address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
(417) 257-5875
Mailing address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
(417) 257-5875

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
131048
MO
363L00000X
Nurse Practitioner
74150
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100456320A
KS
05
1235280678
MO
05
81863
AR
Enumeration date
01/14/2007
Last updated
07/21/2022
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