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Individual

SUMMER ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
109 E 5TH ST, CARUTHERSVILLE, MO 63830-1417
(573) 359-9803
Mailing address
6738 STATE HIGHWAY 77, BENTON, MO 63736-8238

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A005020
AR
363LF0000X
Family Nurse Practitioner
Primary
2017000675
MO

Other

Enumeration date
02/06/2017
Last updated
09/19/2022
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