Individual
MS. WHITNEY RAE SCHMALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(618) 304-4164
Mailing address
4424 BUSS BRANCH RD, WATERLOO, IL 62298-4402
(618) 304-4164
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2019030586
MO
363LN0000X
Neonatal Nurse Practitioner
25226
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
25226
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019030586
MO BOARD OF NURSING
MO
01
—
25226
TN BOARD OF NURSING
TN
Enumeration date
12/09/2018
Last updated
10/02/2020
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