Connie Armstrong

Individual provider Active NPI Nurse Practitioner · Mountain Grove, MO

NPI 1508917949 · NPPES record last updated Sep 9, 2015

Key facts

NPI
1508917949
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
148337 (MO)
Practice address
1604 N. Main
Mountain Grove, MO 65711
Phone
(417) 926-1713
Fax
(417) 926-1209
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
148337MOMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 148337 MO Yes

Addresses

Primary practice location

1604 N. Main
Mountain Grove, MO 65711

Mailing address

PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-4831

Other providers in Mountain Grove, MO

All providers in Mountain Grove, MO · Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.