Individual
MRS. ANNA BERNADINE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109-6023
(573) 634-4878
(573) 634-7423
Mailing address
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109-6023
(573) 634-4878
(573) 634-7423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2009035860
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01135354
RAILROAD MEDICARE
MO
Enumeration date
01/05/2010
Last updated
01/16/2020
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