Search › Missouri › 101YA0400X
Connie Alsup, CRADAC
NPI 1174812275 · on the registry since 2011
Practice
- Address
- 301 Warrior Lane
Poplar Bluff, MO 63902 - Phone
- (573) 686-1200
- Fax
- (573) 686-1029
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri