Individual
ELISE SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6036
(314) 454-2604
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6036
(314) 454-2604
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2011004389
MO
Other
Enumeration date
05/27/2011
Last updated
06/15/2012
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