| Alyssa Ann Fairchild, CPNP-PC | |
|
300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772 | |
| (636) 978-7902 | |
| Not Available |
| Full Name | Alyssa Ann Fairchild |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 300 Winding Woods Dr Ste 120, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720610355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 2016020031 (Missouri) | Primary |
| 208000000X | Pediatrics | 2020004281 (Missouri) | Secondary |
| Entity Name | SSM Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Ann Fairchild, CPNP-PC Po Box 776084, Chicago, IL 60677-6084 Ph: (369) 787-9026 | Alyssa Ann Fairchild, CPNP-PC 300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772 Ph: (636) 978-7902 |
Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610 |
Vonda G Gibson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1695, O Fallon, MO 63366 Phone: 636-385-3347 |
Courtney Paige Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Winding Woods Dr, O Fallon, MO 63366 Phone: 636-614-3280 |
Leah W Wangui, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665 |
Kelli Elizabeth Buntaine, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2991 Highway K, O Fallon, MO 63368 Phone: 636-435-2333 Fax: 314-626-8009 |
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731 |
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902 |