Individual
MRS. STEPHANIE LAUREN SCHATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
102 GRANDE CTR, SULLIVAN, MO 63080-1266
(573) 468-4455
(573) 468-4451
Mailing address
160 KILLDEER LANE, SULLIVAN, MO 63080
(573) 259-3598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014023966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010034841
MISSOURI RN LICENSE
MO
01
—
2014023966
MISSOURI CNP LICENSE
MO
Enumeration date
07/21/2014
Last updated
05/02/2016
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