Individual
ECHO MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 FOUR STATES DR., STE 1, GALENA, KS 66739-4325
(620) 783-4441
(620) 783-4090
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016034569
MO
363L00000X
Nurse Practitioner
53-77442-031
KS
Other
Enumeration date
09/07/2016
Last updated
04/10/2020
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