Beverly D Wombold in Osceola - Nurse Practitioner
Beverly D Wombold - NPI 1538321906
Beverly D Wombold is a Nurse Practitioner in Osceola, Missouri. Beverly D Wombold practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Beverly D Wombold is 1538321906. The last update date is 2008-06-27.
Beverly D Wombold's current location address is 855 Arduser Dr, Osceola, Missouri. You can contact this provider via phone number 4176468159 and fax number 4716468379. The mailing address for Beverly D Wombold is 855 Arduser Dr, Osceola, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly D Wombold |
|---|---|
| Address | 855 Arduser Dr, Osceola, Missouri |
| Phone Number | 4176468159 |
| Fax Number | 4716468379 |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1538321906 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2008-06-27 |
Provider Mailing Address Detail
| Address | 855 Arduser Dr |
|---|---|
| City | Osceola |
| State | Missouri (MO) |
| Post Code | 64773 |
| Phone Number | 4176468159 |
| Fax Number | 4716468379 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 95597 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Beverly D Wombold by the Centers for Medicare & Medicaid Services?
The Beverly D Wombold has been assigned the NPI (National Provider Identifier) 1538321906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Beverly D Wombold located?
The Beverly D Wombold is located at 855 Arduser Dr, Osceola, MO 64773.
What is the Beverly D Wombold's specialty and taxonomy code?
The Beverly D Wombold's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did Beverly D Wombold receive its 1538321906 assignment from the Centers for Medicare & Medicaid Services?
The Beverly D Wombold was assigned its 1538321906 on 2008-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Beverly D Wombold, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Beverly D Wombold, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-27.
NPI Number: 1720081763
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