Individual
DAWN L TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
927 S 71 BUSINESS HWY, ANDERSON, MO 64831-9753
(417) 845-2273
(417) 845-0094
Mailing address
PO BOX 758, NEOSHO, MO 64850-0758
(417) 451-9450
(417) 451-8903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
117259
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952495616
—
MO
05
—
429072200
—
MO
01
—
P01161780
PALMETTO GBA/RR MEDICARE
MO
Enumeration date
10/03/2006
Last updated
02/07/2017
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