Individual
MRS. HALEY RAE SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
450 E SIGLER AVE, MEMPHIS, MO 63555-1726
(660) 465-8511
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2002003877
MO
363LF0000X
Family Nurse Practitioner
2002003877
MO
Other
Enumeration date
06/15/2016
Last updated
09/12/2024
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