Individual
AMOS N MACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 SAINT FRANCIS DR STE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3334
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020002316
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2020002316
MO
Other
Enumeration date
02/05/2020
Last updated
03/02/2021
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