Individual
MRS. BEVERLY J STUMPF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
24 NORTHPORT PLZ, HANNIBAL, MO 63401-2269
(573) 221-3404
(573) 221-0640
Mailing address
2120 E WILMAR DR, QUINCY, IL 62301-6903
(217) 223-8985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
52878
MO
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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