Individual
MRS. KARLA DENISE CLUBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP/PNP
Contact information
Practice address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-1050
(660) 258-1052
Mailing address
22320 HIGHWAY M, BRUNSWICK, MO 65236-2205
(660) 272-3332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
128465
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425996808
—
MO
Enumeration date
11/04/2005
Last updated
12/05/2008
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