Individual
COETA SUE OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-6625
Mailing address
210 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(888) 256-3814
(888) 256-9054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015001947
MO
Other
Enumeration date
03/24/2015
Last updated
06/26/2019
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