Organization · Type 2 NPI
Bonne Terre Healthcare Clinic LLC
Family Nurse Practitioner · Bonne Terre, MO
NPI number
1962043802
Active
Practice location
11 S Division St Ste A
Bonne Terre, MO 63628-1701
Fax (573) 723-1130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Bali Rae Hoover-Richardson, LPCMental Health Counselor Bonne Terre, MO NPI 1811439227
- Glenda Charlene Counts, FNPFamily Nurse Practitioner Bonne Terre, MO NPI 1215258744
- Marissa L. Phegley, LPCProfessional Counselor Bonne Terre, MO NPI 1790498731
- Mary Chandler, AANPFamily Nurse Practitioner Bonne Terre, MO NPI 1780082206
- Theresa L. Lumos, LPCProfessional Counselor Bonne Terre, MO NPI 1578599973
About NPI 1962043802
Bonne Terre Healthcare Clinic LLC's National Provider Identifier is 1962043802, issued on Oct 2, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bonne Terre, MO. The record was last updated on Feb 25, 2024.