Individual
ELISHA F SCHNIEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
509 HAMACHER ST, SUITE 103, WATERLOO, IL 62298-1592
(618) 939-2273
Mailing address
6804 LINDENWOOD PL, SAINT LOUIS, MO 63109-1248
(618) 806-2966
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2003017875
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
041416808
IL
363LP0200X
Pediatric Nurse Practitioner
2003017875
MO
Other
Enumeration date
07/03/2008
Last updated
08/14/2014
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