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NPI 1891275350ActiveOrganization· Nurse Practitioner, Family· Willard, MO

Nurse Practitioner, Family in Willard, Missouri, registered in NPPES in August 2018. The authorized official on file is Max Buetow, Vice President.

Overview

NPI1891275350
StatusActive
Entity typeOrganization
NPI issuedAug 15, 2018
Last updated in NPPESJul 22, 2020
Certified by providerJul 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner, Family providers in Willard

All Nurse Practitioner, Family providers in Missouri →