Individual
DOROTHY L HARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 W SUNSET ST STE 104, SPRINGFIELD, MO 65807-6041
(417) 209-2324
(417) 269-9281
Mailing address
2240 W SUNSET ST STE 104, SPRINGFIELD, MO 65807-6041
(417) 209-2324
(417) 269-9281
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
090719
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429261704
—
MO
Enumeration date
11/03/2006
Last updated
08/01/2023
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