Mrs Michelle Marie Nutter, | |
200 Fleetwood Dr, Waynesville, MO 65583-2266 | |
(877) 406-2662 | |
Not Available |
Full Name | Mrs Michelle Marie Nutter |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 200 Fleetwood Dr, Waynesville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881163749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2020037123 (Missouri) | Primary |
101YP2500X | Counselor - Professional | A14470 (North Carolina) | Secondary |
Entity Name | Richland Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Marie Nutter, Po Box 777, Richland, MO 65556-0777 Ph: (877) 406-2662 | Mrs Michelle Marie Nutter, 200 Fleetwood Dr, Waynesville, MO 65583-2266 Ph: (877) 406-2662 |
Jennifer Kridelbaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 573-774-5353 | |
Mrs. Markitta Andrea Mitchell, MASTER OF SCIENCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 574-774-5353 | |
Mrs. Debra J Niles Bobinger, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 573-774-5353 Fax: 573-774-2907 | |
Mr. Sean Avery Wilson, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Route 66 W, Waynesville, MO 65583 Phone: 573-774-4198 | |
Shannon L Martin, LPC LIC # 2018028478 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Hospital Rd, Waynesville, MO 65583 Phone: 573-774-5353 Fax: 573-774-2907 | |
Tonya Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Historic 66 W, Waynesville, MO 65583 Phone: 573-774-4198 Fax: 573-774-4951 | |
Mrs. Michelle Dawn Adams, NCC, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Historic 66 W, Waynesville, MO 65583 Phone: 573-774-4198 |