Individual
TERESA FICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
3700 W 10TH ST STE 300, SEDALIA, MO 65301-2540
(660) 826-5226
Mailing address
601 E 14TH ST, SEDALIA, MO 65301-5972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018034589
MO
Other
Enumeration date
10/03/2018
Last updated
01/31/2020
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