Individual
LAURIE ANN WERDEHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11179 COUNTY ROAD 391, HOLTS SUMMIT, MO 65043-1304
(573) 694-7978
Mailing address
11179 COUNTY ROAD 391, HOLTS SUMMIT, MO 65043-1304
(573) 694-7978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2004005088
MO
Other
Enumeration date
06/02/2010
Last updated
12/22/2011
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