Individual
MRS. SHELLY R GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1137 INDEPENDENCE DR, WEST PLAINS, MO 65775-4221
(417) 255-8464
Mailing address
53 US HIGHWAY 60-63, WILLOW SPRINGS, MO 65793-3463
(573) 201-1035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012019339
MO
Other
Enumeration date
08/15/2012
Last updated
03/17/2018
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