Provider Demographics
NPI:1013241686
Name:MOHRMANN, CAROLINE ELIZABETH (PNP)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:MOHRMANN
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Gender:F
Credentials:PNP
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Mailing Address - Street 1:1 CHILDRENS PL
Mailing Address - Street 2:MSC 8515-87-1200
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-6018
Mailing Address - Fax:314-454-2780
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DIV PED HEMATOLOGY & ONC
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6018
Practice Address - Fax:844-621-4392
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2021-11-15
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Provider Licenses
StateLicense IDTaxonomies
MO2008035924363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO426469003Medicaid
ILENROLLEDMedicaid