Individual
PAIGE DIANE BURRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
931 E 32ND ST, JOPLIN, MO 64804-2878
(417) 347-8688
(417) 347-8693
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-3649
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017023499
MO
Other
Enumeration date
09/19/2017
Last updated
09/29/2021
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