Individual
DOTTIE RENE BRINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
198 FOUR STATES DR, GALENA, KS 66739-4304
(620) 783-2356
(620) 783-2395
Mailing address
15586 ACORN RD, DIAMOND, MO 64840-6148
(417) 825-1879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2014029919
MO
363LF0000X
Family Nurse Practitioner
Primary
53-76437-091
KS
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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