Individual
MARTHA LORRAINE COURDIN-WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
386 CAUDILL WAY, BRANSON, MO 65616-8686
(417) 348-8655
Mailing address
386 CAUDILL WAY, BRANSON, MO 65616-8686
(417) 348-8655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020025764
MO
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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