Individual
CRYSTAL NEISES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
92 MAIN ST, CASSVILLE, MO 65625-1610
(417) 547-5225
Mailing address
92 MAIN ST, CASSVILLE, MO 65625-1610
(417) 547-5225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023000179
MO
363LF0000X
Family Nurse Practitioner
53-77516-052
KS
Other
Enumeration date
01/24/2017
Last updated
04/07/2023
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