Individual
RONDA SUE DAMGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
802 N RIVERSIDE RD STE 200, SAINT JOSEPH, MO 64507-2553
(816) 271-6666
(816) 271-1300
Mailing address
802 N RIVERSIDE RD STE 200, SAINT JOSEPH, MO 64507-2553
(816) 271-6666
(816) 271-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014000690
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235552977
—
MO
05
—
201090830A
—
KS
01
—
P01308933
RR MEDICARE
MO
Enumeration date
01/31/2014
Last updated
07/21/2022
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