Healthcare Provider Details

I. General information

NPI: 1588455729
Provider Name (Legal Business Name): MARIA ESKANDAR MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 N KENTUCKY AVE
WEST PLAINS MO
65775-2089
US

IV. Provider business mailing address

181 N KENTUCKY AVE
WEST PLAINS MO
65775-2089
US

V. Phone/Fax

Practice location:
  • Phone: 417-257-5972
  • Fax:
Mailing address:
  • Phone: 417-257-5972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025016880
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: