Patricia Kay Bouse, RNC WHNP
Individual provider Active NPI Women's Health Nurse Practitioner · Appleton City, MO
NPI 1013064898 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1013064898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 059306 (MO)
- Practice address
- 106 W 4TH St
Appleton City, MO 64724-1402 - Phone
- (660) 476-2194
- Fax
- (660) 476-9241
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059306 | MO | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 059306 | MO | Yes |
Addresses
Primary practice location
106 W 4TH St
Appleton City, MO 64724-1402
Mailing address
424 SE 100TH Rd
Clinton, MO 64735-9442
Phone (660) 885-3491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29823019PIN 29824017 | Medicaid | MO | |
| 070058 | Medicaid | MO |
Other providers in Appleton City, MO
- Darrell D Anstine
- Appleton City Manor LLC
- Appleton City R-2
- Stephani Beckett
- Brown Chiropractic LLC
- Marla Lea Brown-James
- Community Memorial Hospital
- Community Memorial Hospital District
- Community Memorial Hospital District
All providers in Appleton City, MO · Women's Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.