Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 2019003448 | MO |
NPI | 1003479122 |
---|---|
Provider Name | Hailey Noelle Schlesinger |
First Address | Ballwin, MO 63021-4900 |
Second Address | Saint Louis, MO 63141-8251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2019 |
Last Update Date | 26/03/2021 |