Individual
MRS. CARLA LUE MAYLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
307 S BROADWAY, SALISBURY, MO 65281-1037
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109012
MO
363LF0000X
Family Nurse Practitioner
Primary
2018036129
MO
Other
Enumeration date
09/12/2018
Last updated
05/16/2024
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