Organization · Type 2 NPI
Regional Services
Family Nurse Practitioner · Sparta, MO
NPI number
1043790504
Active
Practice location
8520 MO-14
Sparta, MO 65753
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Other practice locations
- 522 MO-125, Sparta, MO 65753 · (417) 634-3223
- 217 Division St, Sparta, MO 65753-8961 · (417) 634-5518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1043790504
Regional Services's National Provider Identifier is 1043790504, issued on Aug 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sparta, MO. The record was last updated on Jan 30, 2020.