Individual
CASEY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10273 OTTO RD, MINERAL POINT, MO 63660-9312
(573) 366-4851
Mailing address
10273 OTTO RD, MINERAL POINT, MO 63660-9312
(573) 366-4851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016037957
MO
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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