Provider Demographics
NPI:1073168985
Name:MCTEER, ROZLYN ELAYNE (CNP FNP DNP TCRN)
Entity Type:Individual
Prefix:
First Name:ROZLYN
Middle Name:ELAYNE
Last Name:MCTEER
Suffix:
Gender:F
Credentials:CNP FNP DNP TCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 W MCGUFFEY ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-5727
Mailing Address - Country:US
Mailing Address - Phone:417-496-8564
Mailing Address - Fax:
Practice Address - Street 1:3801 S NATIONAL AVE STE 700
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5210
Practice Address - Country:US
Practice Address - Phone:417-882-1207
Practice Address - Fax:417-881-7268
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019027118363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420075547Medicaid