Individual
MS. ELIZABETH ANN SCHICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6299
Mailing address
621 S NEW BALLAS RD STE 6006B, SAINT LOUIS, MO 63141-8273
(314) 251-6299
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2003013769
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428386403
—
MO
Enumeration date
02/17/2009
Last updated
05/25/2023
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