Carla Renelle Mcewan LPN

NPI 1508198235 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1508198235
Gender Female
Enumeration Date 02/05/2010
Last Updated 02/05/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
107 W BROADWAY ST
EL DORADO SPRINGS MO, 64744-1133, US
Phone (417) 876-5314
Fax (417) 876-5328
Business Location
107 W. BROADWAY
EL DORADO SPRINGS MO, 64744, US
Phone (417) 876-5314
Fax (417) 876-5328
Toxanomy
Taxonomy Code 164W00000X
License State Missouri
License Number 045102
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According to our database, Carla Renelle Mcewan LPN NPI is 1508198235, taxonomy code is 164W00000X and license number is 045102, license state is located at Missouri. Carla Renelle Mcewan LPN physically located at 107 W Broadway St, El Dorado Springs MO, 64744-1133. NPI Number Carla Renelle Mcewan LPN has the Individual type.

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1508198235 NPI number is provided on an as is basis without warranty of any kind. 1508198235 is maintained by the National Plan & Provider Enumeration System. The contents of Carla Renelle Mcewan LPN are for informational purposes only.