Individual
MARIAH SHILOH SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-2291
Mailing address
14849 LAWRENCE 2085, MOUNT VERNON, MO 65712-1062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017037524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420048193
—
MO
Enumeration date
10/19/2017
Last updated
08/04/2023
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