Healthcare Provider Details

I. General information

NPI: 1053051656
Provider Name (Legal Business Name): KATHERINE ANN SCHELL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE ANN MUSLER KATHERINE ANN ESTAL

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 BELLEVUE AVE STE 205
SAINT LOUIS MO
63117-1851
US

IV. Provider business mailing address

1222 COLD SPRING DR
O FALLON MO
63368-7991
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-8730
  • Fax: 314-768-7171
Mailing address:
  • Phone: 417-872-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2022006454
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: