Individual
BETTY LOU SCRIVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANPC
Contact information
Practice address
14307 ROUTE A, RUSSELLVILLE, MO 65074-2782
(573) 782-9928
Mailing address
14307 ROUTE A, RUSSELLVILLE, MO 65074-2782
(573) 782-9928
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
059504
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425939907
—
MO
Enumeration date
09/11/2008
Last updated
12/19/2008
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