MRS. Kelly Marie Pantazo, NP-C

NPI #1306326855 in Imperial, Missouri

Provider Information

NPI Number
1306326855
Entity Type
Individual
Name
MRS. Kelly Marie Pantazo, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Aug 15, 2018
Last Updated
Aug 15, 2018

Practice Location

Address
3647 KNEFF FARM XING
ZIP Code
63052-2887
Phone
(314) 882-1978

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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