Individual
CHRISTINE A CZACHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3850 S NATIONAL AVE, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7843
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011009687
MO
363LF0000X
Family Nurse Practitioner
2011009867
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124319439
—
MO
Enumeration date
04/21/2011
Last updated
12/29/2022
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