Linda Shofner CPNP

NPI 1073560405 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1073560405
Gender Female
Enumeration Date 05/30/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12303 DE PAUL DR
BRIDGETON MO, 63044-2512, US
Phone (314) 344-6000
Fax (314) 344-6840
Business Location
1836 LACKLAND HILL PKWY
ATTN: CREDENTIALING OFFICE
SAINT LOUIS MO, 63146-3572, US
Phone (314) 989-0300
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Missouri
License Number 053795
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According to our database, Linda Shofner CPNP NPI is 1073560405, taxonomy code is 2084P0800X and license number is 053795, license state is located at Missouri. Linda Shofner CPNP physically located at 12303 De Paul Dr, Bridgeton MO, 63044-2512. NPI Number Linda Shofner CPNP has the Individual type.

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1073560405 NPI number is provided on an as is basis without warranty of any kind. 1073560405 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Shofner CPNP are for informational purposes only.