Individual
PATRICIA D EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP,PMHNP
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2009029316
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2016017853
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420032576
—
MO
Enumeration date
05/11/2016
Last updated
01/13/2021
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