Individual
MIRANDA KAYLEN FOSHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
Mailing address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025002421
MO
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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