Individual
MARY ELIZABETH CORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN FNP-BC
Contact information
Practice address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 334-6008
(573) 334-1713
Mailing address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 334-6008
(573) 334-1713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125183
MO
Other
Enumeration date
09/09/2009
Last updated
07/26/2012
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