Organization
INTENTIONAL LIVING PRIMARY HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA FISCHER (FAMILY NURSE PRACTITONER)
(618) 977-1305
Entity
Organization
Contact information
Practice address
1120 S 6TH ST STE 110, SAINT LOUIS, MO 63104-3602
(314) 203-2627
(314) 261-9469
Mailing address
1120 S 6TH ST STE 110, SAINT LOUIS, MO 63104-3602
(314) 203-2627
(314) 261-9469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
03/16/2026
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