CHARLES LEE NIMMO

OSAGE BEACH, MO
NPI1700861846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  041989)
Enumeration Date2005-12-13
Last Update Date2024-12-29
Business Address
-- CHARLES LEE NIMMO CRNA
54 HOSPITAL DR
OSAGE BEACH, MO 65065-3050
Phone number: 573-302-1661
Mailing Address
-- CHARLES LEE NIMMO CRNA
PO BOX 840
OSAGE BEACH, MO 65065-0840
Phone number: 573-302-1661