ALISA BETH FAJKUS

KIRKSVILLE, MO
NPI1689355687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MO  2024026678)
Additional Taxonomies163WX0003X Registered Nurse, Obstetric, Inpatient
(Licence: MO  2013025730)
Enumeration Date2023-07-31
Last Update Date2024-11-21
Business Address
ALISA BETH FAJKUS CNM
402 W JEFFERSON ST
KIRKSVILLE, MO 63501-3407
Phone number: 660-665-3555
Mailing Address
ALISA BETH FAJKUS CNM
1416 CROWN DR
KIRKSVILLE, MO 63501-2548
Phone number: 660-627-5757