Individual
QUENTIN MABURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
901 HEARTLAND RD STE 3800, SAINT JOSEPH, MO 64506-6201
(816) 671-4800
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 671-4800
(816) 233-4021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021024181
MO
Other
Enumeration date
08/29/2021
Last updated
08/23/2024
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