Individual
MARY CATHERINE SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BC,FNP
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4351
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-0234
(573) 761-4351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
083058
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423774603
—
MO
Enumeration date
02/07/2006
Last updated
01/09/2014
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