Individual
CHELSEA MEGAN PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2715
(573) 302-2713
Mailing address
143 REDBIRD LN, ULMAN, MO 65083-2131
(573) 375-0195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020030162
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420101287
—
MO
Enumeration date
09/12/2020
Last updated
10/19/2021
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