Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY WITHOELTER, NURSE PRACTITIONER
ActiveMARY WITHOELTER, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in OFALLON, Missouri. NPI 1982188389 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · OFALLON, MO
Registration Details
- NPI Number
- 1982188389
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2018 (7.8873235168987 yrs)
- Last Updated
- Sep 18, 2025
- Licenses
-
2019033706 (MO)2019033706 (MO)
Practice Information
- Address
-
2630 STATE HIGHWAY KOFALLON, MO, 63368Browse MO providers · Browse ZIP 63368
- Phone
- 6369805300
- Fax
- 6369805344
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.