Individual
MS. KATRINA MARIE EDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7046 E HIGHWAY 86, NEOSHO, MO 64850-8296
(417) 776-7046
Mailing address
7046 E HIGHWAY 86, NEOSHO, MO 64850-8296
(417) 776-7046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03230855
MO
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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