Individual
KATHERINE SCODARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8571 WATSON RD, WEBSTER GROVES, MO 63119-5218
(844) 776-7200
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-1716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017029536
MO
363LF0000X
Family Nurse Practitioner
2017029536
MO
Other
Enumeration date
03/21/2018
Last updated
01/30/2023
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