Mustion, Martha R.
Mustion, Martha R. is an individual health care provider with primary practice located at 114 E South Hills Dr , Maryville MO 64468-2659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mustion, Martha R. can be contacted via phone (660) 562-2525.Contact Information
Primary practice address
114 E South Hills Dr
Maryville MO 64468-2659
Phone: (660) 562-2525
Fax: (660) 562-4303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 096048 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 107099 | Iowa |
Profile Details
| NPI number | 1205830601 |
|---|---|
| LBN Legal business name | Mustion, Martha R. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jan 23rd, 2013 - about 13 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205830601 | NPPES |
| Missouri | MEDICAID | 425906310 | |
| Missouri | MEDICAID | 598277101 | |
| Missouri | MEDICAID | 1126946 | |
| Missouri | MEDICAID | 0634568 |
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