Provider Demographics
NPI:1053051656
Name:SCHELL, KATHERINE ANN (NP-C)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ANN
Last Name:SCHELL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:MUSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KATHERINE ANN ESTAL
Mailing Address - Street 1:1222 COLD SPRING DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7991
Mailing Address - Country:US
Mailing Address - Phone:417-872-1309
Mailing Address - Fax:
Practice Address - Street 1:1027 BELLEVUE AVE STE 205
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1851
Practice Address - Country:US
Practice Address - Phone:314-768-8730
Practice Address - Fax:314-768-7171
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022006454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily