Individual
PORTIA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-C
Contact information
Practice address
783 WEBER RD, FARMINGTON, MO 63640-3318
(573) 756-1574
(573) 756-1577
Mailing address
2215 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4403
(573) 271-5317
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017006973
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023008467
MO
Other
Enumeration date
03/17/2017
Last updated
02/27/2024
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