Individual
MRS. BRENDA S HALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1010 WEST COLUMBIA STREET, FARMINGTON, MO 63640
(573) 218-6792
Mailing address
1068 LOVETT STREET, DESOTO, MO 63020-1166
(314) 401-7854
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020022573
MO
Other
Enumeration date
10/13/2020
Last updated
10/15/2020
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