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NPI Code Detail

MEDICARE: KATHERINE SCODARY FNP-C

MEDICARE: KATHERINE SCODARY FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2017029536MO
2363L00000XNurse Practitioner2017029536MO

General Provider Information

NPI Number : 1376047704
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SCODARY FNP-C
Provider Business Mailing Address
First Line : PO BOX 955534
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-1716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8571 WATSON RD
Second Line :
City : WEBSTER GROVES
State : MO
Zip : 63119-5218
Country : US
Telephone Number : 844-776-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 01/30/2023

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Directions to “ KATHERINE SCODARY FNP-C” Practice Location

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