Organization · Type 2 NPI

Mineral Area Osteopathic Hospital Inc

Nurse Practitioner · Farmington, MO

NPI number 1124220637 Active

Practice location

1103 Weber Rd, Suite 102
Farmington, MO 63640-3326

Fax (573) 756-3640

Mailing address

603 Wallace Road
Farmington, MO 63640

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

8 other providers at this address

About NPI 1124220637

Mineral Area Osteopathic Hospital Inc's National Provider Identifier is 1124220637, issued on Jun 5, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington, MO. The record was last updated on Sep 11, 2025.