Individual
MISS MELISSA SUE MASONBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-8155
(660) 686-2211
(660) 686-2618
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-8155
(660) 686-2211
(660) 686-2618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2005038114
MO
Other
Enumeration date
10/26/2009
Last updated
09/07/2010
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