Moore, Elisa Spadaro
Moore, Elisa Spadaro is an individual health care provider with primary practice located at 225 Clarkson Rd , Ellisville MO 63011-2278. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moore, Elisa Spadaro can be contacted via phone (636) 230-5050.Contact Information
Primary practice address
225 Clarkson Rd
Ellisville MO 63011-2278
Phone: (636) 230-5050
Fax: (636) 230-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Ambulatory Care | 163WP2201X | 2007007648 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2011040127 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2011040127 | Missouri |
Profile Details
| NPI number | 1952688178 |
|---|---|
| LBN Legal business name | Moore, Elisa Spadaro |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2011 |
| Last updated | Jul 21st, 2019 - about 7 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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