MIRANDA FRANCIS POGUE

O FALLON, IL
NPI1427324656
Former NameMIRANDA FRANCIS HAMMOND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2012008985)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209.010340)
Enumeration Date2012-04-02
Last Update Date2024-01-04
Business Address
MIRANDA FRANCIS POGUE FNP-BC
320 E HIGHWAY 50
O FALLON, IL 62269-2704
Phone number: 618-624-3368
Mailing Address
MIRANDA FRANCIS POGUE FNP-BC
320 E HIGHWAY 50
O FALLON, IL 62269-2704
Phone number: 618-624-3368