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DIXIE SUE MANROE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP BC

Contact information

Practice address
6717 N OAK TRFY, GLADSTONE, MO 64118-3346
(816) 468-1411
(816) 452-4211
Mailing address
6717 N OAK TRFY, GLADSTONE, MO 64118-3346
(816) 468-1411
(816) 452-4211

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112826
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0362511
ANCC CERTIFICATION NUMBER
MO
Enumeration date
03/30/2007
Last updated
10/02/2015
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