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Individual

ASHLEE FANCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5249
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021051045
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420105366
MO
Enumeration date
12/13/2021
Last updated
01/25/2022
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