NP HEALTH INFORMATION STATION LLC NPI 1184116014

NPI Information

NPI: 1184116014
Provider Name: NP HEALTH INFORMATION STATION LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 26D2151274

Address:
3391 N HIGHWAY 67
FLORISSANT, MO
ZIP 63033
Phone: (314) 585-1002
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NP HEALTH INFORMATION STATION LLC is an adult health nurse practitioner in Florissant, MO. NP HEALTH INFORMATION STATION LLC NPI is 1184116014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3391 N HIGHWAY 67
FLORISSANT, MO
ZIP 63033-604
Phone: (314) 585-1002
Fax: (314) 736-1247

The provider's authorized official is Jeanetta Renee Stomer .
The authorized official title is Co-owner and has the following contact phone number (314) 585-1002.

The CLIA number assigned to this NPI record is 26D2151274 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 3/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2004029626	MISSOURI	No
2	363LA2200X	Nurse Practitioner	Adult Health	2011023084	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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