| NPI | 1891454013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS SCHNEIDER Owner 618-719-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2023-01-03 |