Doctor Name: | RHONDA L DRURY |
NPI Number: | 1659641108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 2011041502 |
Business Practice Address: | 38206 E Hudson Rd Oak Grove, MO - 640758440 |
Business Phone Number: | 8162671967 |
Business Fax Number: | 8166905606 |
Mailing Address: | 38206 E Hudson Rd, OAK GROVE |
State: | MO |
Postal Code: | 640758440 |
Phone Number: | 8162671967 |
Fax Number: | 8166905606 |
NPI Enumeration Date: | 12/30/2011 |
NPI Last Update Date: | 12/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2011041502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |