Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 140810 | MO |
N | 363L00000X | Nurse Practitioner | 140810 | MO |
Y | 363L00000X | Nurse Practitioner | 2010039885 | MO |
N | 363LA2200X | Nurse Practitioner - Adult Health | 140818 | MO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 140810 | MO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 2010039885 | MO |
NPI | 1295920817 |
---|---|
Provider Name | Ms. Sandra K Scharf |
First Address | O Fallon, MO 63368-6624 |
Second Address | O Fallon, MO 63368-6624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 16/12/2021 |