Individual
MELISSA DEANNE KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1819 S NATIONAL AVE, SPRINGFIELD, MO 65804-2217
(417) 269-9220
Mailing address
1819 S NATIONAL AVE, SPRINGFIELD, MO 65804-2217
(417) 269-9220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20927683
MO
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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