Individual
BRENDA ANN MCGEHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
RR 2 BOX 2001, ELLSINORE, MO 63937-9532
(573) 429-7633
Mailing address
RR 2 BOX 2001, ELLSINORE, MO 63937-9532
(573) 429-7633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017034981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017034981
—
MO
Enumeration date
01/10/2018
Last updated
01/10/2018
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