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Individual

IRENE NEWMAN PARSONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-1050
(660) 258-1052
Mailing address
103 BROOKSIDE CT, BROOKFIELD, MO 64628-2479
(660) 258-7194

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
138036
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138036
STATE LICENSE NUMBER
MO
Enumeration date
11/28/2006
Last updated
12/05/2008
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