Individual
MS. MARANDA LEE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-3911
Mailing address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-3911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001004401
MO
Other
Enumeration date
04/30/2008
Last updated
03/02/2023
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