Individual
MAKENZIE PAIGE BICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
307 N MAIN ST, WINDSOR, MO 65360-1449
(844) 853-8937
Mailing address
1173 SE 185, KNOB NOSTER, MO 65336-2276
(660) 620-9045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018022885
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023048109
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-82374-012
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
TMP-161818
KS
Other
Enumeration date
06/28/2023
Last updated
08/08/2024
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