Individual
DONNA A VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5641 E GREENLEAF LN, STRAFFORD, MO 65757-8870
(561) 213-7101
Mailing address
PO BOX 218, 5641 E GREENLEAF LN, STRAFFORD, MO 65757-0218
(561) 213-7101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016036919
MO
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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