Individual
DANIEL SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3438
(636) 327-6556
(636) 332-1190
Mailing address
1603 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3438
(636) 327-6556
(636) 332-1190
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
139217
MO
363LF0000X
Family Nurse Practitioner
Primary
139217
MO
Other
Enumeration date
08/30/2006
Last updated
02/27/2008
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