Healthcare Provider Details

I. General information

NPI: 1669430591
Provider Name (Legal Business Name): BARBARA SCHEIPER LATAL CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JEFFERSON BARRACKS DR
SAINT LOUIS MO
63125-4181
US

IV. Provider business mailing address

11701 DOVERHILL DR
SAINT LOUIS MO
63128-1111
US

V. Phone/Fax

Practice location:
  • Phone: 314-845-5090
  • Fax: 314-845-5019
Mailing address:
  • Phone: 314-849-7980
  • Fax: 314-845-5019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number080789
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: