Individual
MICHELE BEHNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCSFNPGNP
Contact information
Practice address
1510 CROWN DRIVE, KIRKSVILLE, MO 63501-5047
(660) 627-3621
(660) 627-5798
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104748
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424692317
—
MO
Enumeration date
12/19/2005
Last updated
11/06/2012
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