Individual
RICHARD MCAMISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-5222
(417) 347-5221
Mailing address
505 GALAXY DR, JACKSON, TN 38305-6661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000126841
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
2018039617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3629582
—
TN
Enumeration date
08/16/2005
Last updated
09/01/2021
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