Individual
TARA HUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7702
(573) 472-7719
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2018033280
MO
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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