| NPI | 1326694605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE LR OJAKANGAS Director 417-823-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-14 |