Healthcare Provider Details

I. General information

NPI: 1437655602
Provider Name (Legal Business Name): EFFICIENT FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 N DOUGLASS ST
MALDEN MO
63863-1351
US

IV. Provider business mailing address

1207 N DOUGLASS ST
MALDEN MO
63863-1351
US

V. Phone/Fax

Practice location:
  • Phone: 573-276-3884
  • Fax: 573-276-3885
Mailing address:
  • Phone: 573-276-3884
  • Fax: 573-276-3885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016025962
License Number StateMO

VIII. Authorized Official

Name: MATTHEW CHATMAN
Title or Position: OWNER
Credential: NP-C
Phone: 573-840-0508