TERRA R VESTAL

SPRINGFIELD, MO
NPI1477033603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2018028916)
Enumeration Date2018-08-16
Last Update Date2018-10-10
Business Address
TERRA R VESTAL FNP-C
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807-5154
Phone number: 417-269-9812
Mailing Address
TERRA R VESTAL FNP-C
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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