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Individual

GEORGANN MARIE GREISSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP CNM

Contact information

Practice address
25376 STATE HWY 39, #301, SHELL KNOB, MO 65747-7343
(417) 236-2680
(417) 236-2683
Mailing address
3800 S. NATIONAL AVE, STE. 540, SPRINGFIELD, MO 65807-5284
(417) 236-2680
(417) 236-2683

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2008004559
MO
363LF0000X
Family Nurse Practitioner
AK 07944-104-02
AK
367A00000X
Advanced Practice Midwife
07944-104-02
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3686
AK
Enumeration date
10/05/2005
Last updated
02/04/2013
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