DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTENTIONAL LIVING PRIMARY HEALTH CARE, LLC

Active Organization

INTENTIONAL LIVING PRIMARY HEALTH CARE, LLC is a Family Nurse Practitioner organization located in SAINT CHARLES, Missouri. NPI 1790306421 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAINT CHARLES, MO

Registration Details

NPI Number
1790306421
Provider Type
Organization
NPI Issued
May 5, 2020 (6.2624255762957 yrs)
Last Updated
May 5, 2020

Practice Information

Address
1550 WALL ST STE 223
SAINT CHARLES, MO, 633033548
Browse MO providers · Browse ZIP 63303
Phone
6189771305
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.