Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 112159 | MO |
NPI | 1013038835 |
---|---|
Provider Name | Cindy L Schoenlaub |
First Address | Saint Joseph, MO 64503-1237 |
Second Address | Saint Joseph, MO 64506-2365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
423378900 | (05) | MO |