Individual
MRS. JOAN K BIRCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1413 WENTZVILLE PARKWAY, WENTZVILLE, MO 63385
(636) 332-5400
(636) 332-5404
Mailing address
1413 WENTZVILLE PARKWAY, WENTZVILLE, MO 63385
(636) 332-5400
(636) 332-5404
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
062658
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423225101
—
MO
Enumeration date
08/19/2006
Last updated
09/22/2011
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