Individual
SONDRA J BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 624-8566
(417) 623-9932
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
072383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184500A
—
OK
05
—
100374010A
—
KS
01
—
162199
ANTHEM
MO
05
—
255093205
—
MO
Enumeration date
06/28/2006
Last updated
05/19/2009
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