Individual
MIRANDA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
405 MAIN STREET, VAN BUREN, MO 63965
(573) 323-4253
Mailing address
405 MAIN STREET, VAN BUREN, MO 63965
(573) 323-4253
(573) 323-4465
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022021774
MO
Other
Enumeration date
06/22/2022
Last updated
02/26/2025
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