Healthcare Provider Details

I. General information

NPI: 1033268768
Provider Name (Legal Business Name): ERMA JOHNMEYER-SCHUTTE RN,C.S.,F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERMA RUTH JOHNMEYER FNP

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 UNION AVE
MOBERLY MO
65270-9469
US

IV. Provider business mailing address

1501 UNION AVE
MOBERLY MO
65270-9469
US

V. Phone/Fax

Practice location:
  • Phone: 660-263-4770
  • Fax: 660-263-2228
Mailing address:
  • Phone: 660-263-4770
  • Fax: 660-263-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number093272
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: