Individual
CHERYL ANN STALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1701 E BROADWAY STE 101, COLUMBIA, MO 65201-8018
(573) 815-3612
(573) 815-2985
Mailing address
1701 E BROADWAY STE 101, COLUMBIA, MO 65201-8018
(573) 815-3612
(573) 815-2985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020017998
MO
Other
Enumeration date
08/10/2022
Last updated
01/06/2025
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