Individual
MEAGAN MICHELLE FANSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1705 E BROADWAY STE 280, COLUMBIA, MO 65201-7185
(573) 815-7119
Mailing address
1705 E BROADWAY STE 280, COLUMBIA, MO 65201-7185
(573) 815-7119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022030319
MO
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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