Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 2020035214 | MO |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 2020035214 | MO |
N | 363LG0600X | Nurse Practitioner - Gerontology | 2020035214 | MO |
N | 363LP2300X | Nurse Practitioner - Primary Care | 2020035214 | MO |
NPI | 1134728207 |
---|---|
Provider Name | Bryanna Scherer |
First Address | Saint Charles, MO 63304-4520 |
Second Address | Saint Charles, MO 63304-4520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2020 |
Last Update Date | 28/02/2021 |