Individual
MRS. JAMIE GUDENKAUF
Active
Individual
MRS. JAMIE GUDENKAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
2004018112
MO
363LF0000X
Family Nurse Practitioner
Primary
2018000609
MO
Other
Enumeration date
07/29/2017
Last updated
03/13/2019
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