Individual
KARRIE DIANA SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
204 SOUTH STREET, ANNA, IL 62906-0548
(618) 833-8551
(618) 833-2911
Mailing address
PO BOX 548, ANNA, IL 62906-0548
(618) 833-8551
(618) 833-2911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2001023975
MO
163W00000X
Registered Nurse
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001023975
PROFESSIONAL LICENSE #
MO
Enumeration date
08/22/2006
Last updated
07/08/2007
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