Villaruel-Kirk, Gregoria

Villaruel-Kirk, Gregoria is an individual health care provider with primary practice located at 3322 S Campbell Ave Ste T-1 , Springfield MO 65807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Villaruel-Kirk, Gregoria can be contacted via phone (417) 220-4480.

Contact Information

Primary practice address
3322 S Campbell Ave Ste T-1 Springfield MO 65807
Phone: (417) 220-4480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 136786 Missouri

Profile Details

NPI number 1588649651
LBN Legal business name Villaruel-Kirk, Gregoria
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 22nd, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588649651 NPPES
Missouri MEDICAID 427406905
Missouri Other P00262273
Missouri MEDICAID 1588649651

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