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NPI Code Detail

MEDICARE: MINDY DOSCHER MSN, NP-C

MEDICARE: MINDY DOSCHER MSN, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse2009027387MO
2363LA2200XAdult Health Nurse Practitioner2016035606MO
3363LG0600XGerontology Nurse Practitioner2016035606MO
4363LF0000XFamily Nurse Practitioner2016035606MO

General Provider Information

NPI Number : 1003274440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDY DOSCHER MSN, NP-C
Provider Business Mailing Address
First Line : 670 MASON RIDGE CENTER DR STE 300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8573
Country : US
Telephone Number : 573-815-6631
Fax Number : 573-815-6634
Provider Business Practice Location Address
First Line : 900 W NIFONG BLVD STE 101
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-4469
Country : US
Telephone Number : 573-815-6631
Fax Number : 573-815-6634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2016
Last Update Date : 07/21/2022

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