Individual
MRS. MARY CATHERINE ALLENSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
(573) 248-4380
Mailing address
154 FORREST DR, HANNIBAL, MO 63401-5511
(573) 221-2120
(573) 248-4380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015026442
MO
164W00000X
Licensed Practical Nurse
046420
MO
Other
Enumeration date
04/13/2010
Last updated
04/09/2021
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