Elaine Epp, R.N
Individual provider Active NPI Registered Nurse · Monett, MO
NPI 1497205488 · NPPES record last updated Oct 13, 2016
Key facts
- NPI
- 1497205488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2014000205 (MO)
- Practice address
- 411 3Rd St
Monett, MO 65708-2008 - Phone
- (417) 235-6610
- Fax
- (417) 354-0065
- NPI assigned
- Oct 13, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014000205 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Community Mentalhealth Center | Past | Accepting new patients | |
| Clark Community Mental Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2014000205 | MO | Yes |
Addresses
Primary practice location
411 3Rd St
Monett, MO 65708-2008
Mailing address
PO Box 100
Pierce City, MO 65723-2100
Phone (417) 235-6610
Other providers in Monett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2016. 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.