Organization · Type 2 NPI
Image Specialties, L.l.c.
Family Nurse Practitioner · St. Joseph, MO
NPI number
1629356142
Active
Practice location
5213 Frederick Ave
St. Joseph, MO 64506-3263
Fax (816) 232-6459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 096655 (MO) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in St. Joseph
About NPI 1629356142
Image Specialties, L.l.c.'s National Provider Identifier is 1629356142, issued on Aug 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Joseph, MO. The record was last updated on Aug 24, 2011.