Individual
TAYLOR LAUREN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
155 VILLAGE DR, SPARTA, MO 65753-8104
(417) 634-4203
Mailing address
155 VILLAGE DR, SPARTA, MO 65753-8104
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2022013909
MO
Other
Enumeration date
04/27/2022
Last updated
08/10/2022
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