Individual
RACHAEL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 S WELLER AVE APT B314, SPRINGFIELD, MO 65804-5366
(316) 648-7254
Mailing address
3811 S WELLER AVE APT B314, SPRINGFIELD, MO 65804-5366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021010605
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420099586
—
MO
Enumeration date
06/08/2021
Last updated
01/10/2022
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