| Mia Boren, | |
|
1226 Independence Ave, Kennett, MO 63857-1316 | |
| (573) 559-2380 | |
| Not Available |
| Full Name | Mia Boren |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1226 Independence Ave, Kennett, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235862350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LTP009806 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Boren, 1226 Independence Ave, Kennett, MO 63857-1316 Ph: (573) 559-2380 | Mia Boren, 1226 Independence Ave, Kennett, MO 63857-1316 Ph: (573) 559-2380 |
Brandon Duff, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 220 Vandeventer Pl, Kennett, MO 63857 Phone: 573-717-6016 | |
Kayla Brooke Crawford, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 875 State Route Vv, Kennett, MO 63857 Phone: 573-888-0642 | |
Amber Luttrull, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 925 Highway V V, Kennett, MO 63857 Phone: 573-359-9840 | |
Amanda Renea Statler, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 State Route Vv, Kennett, MO 63857 Phone: 573-559-2365 | |
Mrs. Taylor Rae Deberry, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 925 Highway V V, Kennett, MO 63857 Phone: 573-888-5925 | |
Kristy Sanders, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 925 Hwy Vv, Kennett, MO 63857 Phone: 573-888-5925 | |
Wanda Jean Goodrich, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 935 State Route Vv, Kennett, MO 63857 Phone: 573-888-5925 |