Individual
DR. SUMMER R MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-102286-032
KS
163W00000X
Registered Nurse
2007006533
MO
363LF0000X
Family Nurse Practitioner
Primary
2010009569
MO
363LF0000X
Family Nurse Practitioner
53-75115-032
KS
Other
Enumeration date
04/05/2010
Last updated
02/21/2023
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