Individual
JOAN MARIE DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 825-1718
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 825-1718
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2012022610
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336494319
—
MO
05
—
200464730A
—
OK
05
—
200878470A
—
KS
01
—
P01134665
RAIL ROAD MEDICARE
MO
Enumeration date
07/17/2012
Last updated
03/17/2016
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