Provider Demographics
NPI:1396742599
Name:CURRENT, ELIZABETH A (CNM)
Entity type:Individual
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First Name:ELIZABETH
Middle Name:A
Last Name:CURRENT
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:512 W MAIN ST
Mailing Address - Street 2:P O BOX 158
Mailing Address - City:COLE CAMP
Mailing Address - State:MO
Mailing Address - Zip Code:65325-0158
Mailing Address - Country:US
Mailing Address - Phone:660-668-0851
Mailing Address - Fax:660-668-3041
Practice Address - Street 1:3700 W 10TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-2540
Practice Address - Country:US
Practice Address - Phone:660-827-0015
Practice Address - Fax:660-827-7425
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2011-11-28
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Provider Licenses
StateLicense IDTaxonomies
MO072950367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO258123603Medicaid
S59873Medicare UPIN
MO258123603Medicaid