Individual
KASSIDI BREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3901 E 32ND ST, JOPLIN, MO 64804-3312
(417) 347-7565
(417) 347-7566
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7600
(417) 347-7608
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2015009955
MO
Other
Enumeration date
04/03/2015
Last updated
03/13/2019
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