Individual
AMMIE WIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2791 N WASHINGTON ST, CHILLICOTHE, MO 64601-2902
(660) 646-2682
Mailing address
2791 N WASHINGTON ST, CHILLICOTHE, MO 64601-2902
(660) 646-2682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004020564
MO
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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