Individual
MRS. GINA NICOLE VISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1501 N OAKLAND AVE, BOLIVAR, MO 65613-3020
(417) 326-7200
(417) 326-7201
Mailing address
PO BOX 256, SALINA, KS 67402-0256
(785) 823-0633
(844) 854-4662
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2011001192
MO
363LF0000X
Family Nurse Practitioner
Primary
2016035596
MO
Other
Enumeration date
09/16/2016
Last updated
10/10/2024
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