Individual
MIRANDA LUEBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1500 SOUTHWEST BLVD STE D, JEFFERSON CITY, MO 65109-2472
(573) 632-5780
(573) 632-5833
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022024473
MO
Other
Enumeration date
06/29/2022
Last updated
06/03/2024
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