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Nursing Service Providers Registered Nurse

Provider NPI: 1952507766

Organization Information:
Organization is not Subpart
Authorized Official:  PAULA  MILLER  CFO  660-442-3128

Practice Location:
1105 STATE ST.  MOUND CITY, MO 64470-0308 US
Tel: 660-442-3128  Fax: --

Business Mailing Address:
1105 STATE ST. PO BOX 308 MOUND CITY, MO 64470-0308 US
Tel: 660-442-3128  Fax: --

NPI Information:
NPI: 1952507766
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
N372500000XNursing Service Related Providers
Chore Provider
N372600000XNursing Service Related Providers
Adult Companion
N373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist
N374700000XNursing Service Related Providers
N3747A0650XNursing Service Related Providers
N3747P1801XNursing Service Related Providers
N374T00000XNursing Service Related Providers
Christian Science Practitioner/Nurse
N374U00000XNursing Service Related Providers
Home Health Aide
N376G00000XNursing Service Related Providers
Nursing Home Administrator
N376J00000XNursing Service Related Providers
N376K00000XNursing Service Related Providers
Nurse's Aide
Y320900000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 320900000X





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