Individual
CARSON MIKAELA BORGMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7704
(573) 556-1714
Mailing address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7704
(573) 556-1714
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019028113
MO
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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