Crecelius, Mary Elizabeth

Crecelius, Mary Elizabeth is an individual health care provider with primary practice located at 255 Boderman , Bloomsdale MO 63627-9099. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Genetic Counselor, MS, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Crecelius, Mary Elizabeth can be contacted via phone (573) 483-2727.

Contact Information

Primary practice address
255 Boderman Bloomsdale MO 63627-9099
Phone: (573) 483-2727
Fax: (573) 883-2463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 089458 Missouri

Profile Details

NPI number 1841272861
LBN Legal business name Crecelius, Mary Elizabeth
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841272861 NPPES
Missouri MEDICAID 428718712

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