Individual
ANDREA DAWN VANHOOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1002 W MAIN ST, JEFFERSON CITY, MO 65109-6901
(573) 636-6288
Mailing address
181 COPPERAS RD, ELDON, MO 65026
(573) 286-2147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009004829
MO
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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