MRS. ERIN ELIZABETH DUVALL (NPI# 1003254087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003254087 |
Entity Type | Individual |
Full Name | MRS. ERIN ELIZABETH DUVALL |
Credential | FNP-C |
Practice Address |
1059 Barton Dr Fordland MO 65652-7350 |
Mailing Address |
1059 Barton Drive Fordland MO 65652 |
Practice Telephone | 4177672273 |
Mailing Telephone | 4176194129 |
Enumeration Date | 2013-06-12 |
Last Update Date | 2016-08-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013017565 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2013017565 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528077872 | Erin Rae Duvall | Acupuncturist | 23 S Wenatchee Ave, Ate 125, Wenatchee, WA 98801 | 2006-08-05 |
Street Address |
1059 BARTON DR |
City | FORDLAND |
State | MO |
Zip Code | 65652-7350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679570287 | Robert Gordon Marsh | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2005-06-29 |
1811420888 | Michelle Young | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2017-04-06 |
1891147104 | Debby Sue Carl | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2016-07-11 |
1154762649 | Lorena Leone | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2013-07-11 |
1922356823 | Stephane Counts | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2012-08-27 |
1467731018 | Theresa Anne Griffith | Counselor | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-08-14 |
1295022341 | Robert Daniel Dunavant | Dentist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-07-08 |
1164718227 | Tina Nichole Drozdowski | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-06-27 |
1073637757 | Fordland Clinic, Inc. | Clinic/Center | 1059 Barton Dr, Fordland, MO 65652-7350 | 2007-03-19 |
1003930207 | Erin K Rickman | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2007-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437708351 | Sherry Kensinger | Technician | 133 Meadowbrook Ln, Fordland, MO 65652-7204 | 2019-09-04 |
1588904247 | Joseph Byers | Family Medicine | 3181 Green Hill Rd, Fordland, MO 65652-7283 | 2013-02-18 |
1275793002 | Dave Gooden | Social Worker | 1194 Green Hill Rd, Fordland, MO 65652-8253 | 2008-06-16 |
1093235640 | Brewer Counseling, LLC | Interpreter | 317 Sparrowhawk Rd, Fordland, MO 65652-8382 | 2017-06-25 |
1346380326 | Fordland R-3 School Dist | Physical Therapist | 1230 School St, Fordland, MO 65652-9208 | 2007-02-07 |
1740828102 | Regional Services | Nurse Practitioner | 1230 School St, Fordland, MO 65652-9208 | 2019-12-17 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801493275 | Destemona Bozhani-marte | Nurse Practitioner | 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 | 2020-10-07 |
1437760675 | Justin Lucas Sweetin | Nurse Practitioner | 7727 Weston Pl, Richmond Heights, MO 63117-2018 | 2020-08-12 |
1962043802 | Bonne Terre Healthcare Clinic, LLC | Nurse Practitioner | 11 S Division St Ste A, Bonne Terre, MO 63628-1701 | 2019-10-02 |
1720639354 | Anne Nicole Dailey | Nurse Practitioner | 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 | 2019-09-25 |
1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
1588122311 | Meskerm Workiye Asfaw | Nurse Practitioner | 589 Vintage Grove Ct, Wildwood, MO 63038-2314 | 2019-03-11 |
1063983088 | Jenny Lynette Brown | Nurse Practitioner | 6912 Candlewick Way, Florissant, MO 63033-5113 | 2018-12-17 |
1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
1679065098 | Aaron Dewayne Gitthens | Nurse Practitioner | 898 Sw State Route O, Osborn, MO 64474-9762 | 2018-06-01 |
1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.