Individual
CHERYL J. DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4016 MAIN ST, CASSVILLE, MO 65625-9753
(417) 847-0057
(417) 847-0079
Mailing address
4301 DONIPHAN DR, NEOSHO, MO 64850-9120
(417) 451-9450
(417) 451-8903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2002021754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
# PENDING
—
MO
Enumeration date
06/27/2006
Last updated
03/06/2012
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