Healthcare Provider Details

I. General information

NPI: 1851218374
Provider Name (Legal Business Name): AUDREY CLAE ELDRINGHOFF FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9304 US HIGHWAY 160
WEST PLAINS MO
65775-6001
US

IV. Provider business mailing address

9304 US HIGHWAY 160
WEST PLAINS MO
65775-6001
US

V. Phone/Fax

Practice location:
  • Phone: 417-293-2336
  • Fax:
Mailing address:
  • Phone: 417-293-2336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026031287
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: