Healthcare Provider Details
I. General information
NPI: 1871244749
Provider Name (Legal Business Name): CHRISTINA D NEUMEIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/12/2022
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2055 S FREMONT AVE
SPRINGFIELD MO
65804-2206
US
IV. Provider business mailing address
2055 S FREMONT AVE
SPRINGFIELD MO
65804-2206
US
V. Phone/Fax
- Phone: 417-820-8099
- Fax: 417-820-8093
- Phone: 417-820-8099
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 2021048981 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: