Individual
MINDY KAY WORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1405 N TRUMAN BLVD, FESTUS, MO 63028-1177
(636) 933-2243
(636) 933-2252
Mailing address
PO BOX 3891, CHESTERFIELD, MO 63006-3891
(636) 933-2243
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018030076
MO
Other
Enumeration date
05/21/2018
Last updated
04/08/2021
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