Individual
MARY R. STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1033 E WALNUT ST, SPRINGFIELD, MO 65806-2604
(417) 831-2327
(417) 831-5122
Mailing address
1033 E WALNUT ST, SPRINGFIELD, MO 65806-2604
(417) 831-2327
(417) 831-5122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
151399
MO
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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