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Individual

ALLISON M FELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1312 N HIGHWAY 5, AVA, MO 65608
(417) 683-4045
(417) 683-6069
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2003004309
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255656484
MO
01
431560263
TRICARE WEST
Enumeration date
03/31/2010
Last updated
07/08/2010
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