Provider Demographics
NPI:1457698607
Name:ALCAZAR, ERIN BRIGID (FNP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:BRIGID
Last Name:ALCAZAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:BRIGID
Other - Last Name:SCHMELIG, HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:509 HAMACHER STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WATERLOO
Mailing Address - State:IL
Mailing Address - Zip Code:62298
Mailing Address - Country:US
Mailing Address - Phone:618-939-3939
Mailing Address - Fax:618-939-0234
Practice Address - Street 1:2420 STATE ST
Practice Address - Street 2:
Practice Address - City:EAST SAINT LOUIS
Practice Address - State:IL
Practice Address - Zip Code:62205-2321
Practice Address - Country:US
Practice Address - Phone:618-318-8809
Practice Address - Fax:618-615-4205
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013000997363LF0000X
IL209013690363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily