Individual
AMY MCKELL CLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
806 N DOUGLASS ST, MALDEN, MO 63863-1512
(573) 276-3873
Mailing address
806 N DOUGLASS ST, MALDEN, MO 63863-1512
(573) 276-3873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024026240
MO
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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