Individual
STEPHENIE MICHELE ZINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3381
(417) 875-3690
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3462
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2019011377
MO
363LF0000X
Family Nurse Practitioner
Primary
2019011377
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420069391
—
MO
Enumeration date
04/19/2019
Last updated
07/18/2019
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