Provider Demographics
NPI:1790989523
Name:OGDEN, EDEN CHRISTINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:EDEN
Middle Name:CHRISTINE
Last Name:OGDEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1197 W DADE 82
Mailing Address - Street 2:
Mailing Address - City:GOLDEN CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64748-7165
Mailing Address - Country:US
Mailing Address - Phone:417-537-4956
Mailing Address - Fax:
Practice Address - Street 1:SECOND AND GULF ST.
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:MO
Practice Address - Zip Code:64759
Practice Address - Country:US
Practice Address - Phone:417-681-5259
Practice Address - Fax:417-681-5183
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO143355163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse