Individual
MRS. SHEENA CAITLYN PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1337 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-5435
(417) 967-5503
Mailing address
1337 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-5435
(417) 967-5503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016023380
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760834378
—
MO
01
—
26-8535
MEDICARE OSCAR
MO
01
—
26-8630
MEDICARE OSCAR
MO
01
—
26D0679044
CLIA - LFC
MO
01
—
26D0889777
CLIA - MOB
MO
Enumeration date
07/07/2016
Last updated
07/21/2022
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