Individual
MRS. LAURA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2749
(816) 364-4300
(816) 279-8148
Mailing address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2749
(816) 364-4300
(816) 279-8148
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2013002944
MO
Other
Enumeration date
02/01/2013
Last updated
02/07/2022
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