Individual
MISTY LEEANNE DENEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 256-9111
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2004020401
MO
363LF0000X
Family Nurse Practitioner
Primary
2018024053
MO
Other
Enumeration date
05/29/2018
Last updated
09/04/2025
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