Doctor Name: | PAUL H COMPNEY |
NPI Number: | 1477566719 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 116160 |
Business Practice Address: | 246 Re Highway 54 Camdenton, MO - 65020 |
Business Phone Number: | 5733171150 |
Business Fax Number: | |
Mailing Address: | 246 Re Highway 54, CAMDENTON |
State: | MO |
Postal Code: | 65020 |
Phone Number: | 5733171150 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 116160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |