Individual
MRS. SHELLEY ANN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2021 E INDEPENDENCE ST, SPRINGFIELD, MO 65804-3748
(417) 885-1445
Mailing address
2433 E EDGEWOOD ST, SPRINGFIELD, MO 65804-3905
(417) 766-3479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013032148
MO
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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