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Individual

MRS. CHRISTINA ANN RARIDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, PMHNP

Contact information

Practice address
555 W PINE ST, FARMINGTON, MO 63640-1439
(573) 747-1510
Mailing address
3236 FAIRVIEW CHURCH RD, BONNE TERRE, MO 63628-8434
(573) 431-4625

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003018121
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2018008842
MO

Other

Enumeration date
06/09/2008
Last updated
10/24/2019
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