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Individual

NAOMI G. DYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
816 E. MAIN, WILLOW SPRINGS, MO 65793-1597
(417) 269-2490
(417) 269-2492
Mailing address
3800 S. NATIONAL AVE, STE. 540, SPRINGFIELD, MO 65807-5284
(417) 269-2490
(417) 269-2492

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN073809
MO
363LF0000X
Family Nurse Practitioner
Primary
073809
MO

Other

Enumeration date
09/25/2006
Last updated
01/02/2013
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