Individual
MINETTE JANE WOOLVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-3413
(417) 347-3609
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-3649
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2017035517
MO
363L00000X
Nurse Practitioner
Primary
2017035517
MO
Other
Enumeration date
10/06/2017
Last updated
10/11/2017
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