Individual provider · Type 1 NPI

Stephanie Breault

Family Nurse Practitioner · Forsyth, MO

NPI number 1619556016 Active

Practice location

256 State Highway Y
Forsyth, MO 65653-5618

Fax (417) 546-4505

Mailing address

PO Box 1240
Forsyth, MO 65653-1240

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2021011336 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1619556016

Stephanie Breault's National Provider Identifier is 1619556016, issued on Apr 5, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forsyth, MO. The record was last updated on Apr 5, 2021.