Individual
MARCY A. BOT-BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3302 S CARRIAGE AVE, SPRINGFIELD, MO 65809-4110
(417) 827-8832
Mailing address
3302 S CARRIAGE AVE, SPRINGFIELD, MO 65809-4110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
135489
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427147560
—
MO
05
—
429159205
—
MO
Enumeration date
10/12/2006
Last updated
03/21/2025
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