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General NPI Number Information
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NPI Number | 1154644870
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Entity Type | Individual
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Provider Name | ANN MIRETTE KIRBY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1299 FARNAM ST
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City | OMAHA
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State | NE
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Zip | 68102-1880
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 11 S DIVISION ST STE A
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City | BONNE TERRE
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State | MO
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Zip | 63628-1701
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Country | US
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Telephone | 573-723-1100
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Fax | 573-723-1130
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 115246
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209027374
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2010006113
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License Number State | MO
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