Individual
MAKENZIE EVINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 N 4TH ST, ODESSA, MO 64076-1149
(816) 277-8598
Mailing address
305 N 4TH ST, ODESSA, MO 64076-1149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022023903
MO
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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