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Individual

DANITA G RIFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN097946
MO
363LF0000X
Family Nurse Practitioner
097946
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
097946
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425188208
MO
01
500015457
RR MEDICARE
MO
Enumeration date
06/01/2006
Last updated
05/20/2024
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