| Hunter Elijah Wadlow, | |
|
753 Pointe Basse Dr, Sainte Genevieve, MO 63670-1820 | |
| (573) 883-2782 | |
| (573) 883-3681 |
| Full Name | Hunter Elijah Wadlow |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 753 Pointe Basse Dr, Sainte Genevieve, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073236097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2022037256 (Missouri) | Primary |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801817416 PECOS PAC ID: 3274432802 Enrollment ID: O20040617000089 |
| Entity Name | Parkland Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922016112 PECOS PAC ID: 1951219237 Enrollment ID: O20050224000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter Elijah Wadlow, 753 Pointe Basse Dr, Sainte Genevieve, MO 63670-1820 Ph: (573) 883-2782 | Hunter Elijah Wadlow, 753 Pointe Basse Dr, Sainte Genevieve, MO 63670-1820 Ph: (573) 883-2782 |
Kelly A Donze, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Sainte Genevieve Dr, Sainte Genevieve, MO 63670 Phone: 573-883-5715 Fax: 573-883-2463 | |
Christina Marie Peters, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Ste Genevieve Dr, Sainte Genevieve, MO 63670 Phone: 573-880-7750 | |
Abigail Marie Fischer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Ste Genevieve Dr, Sainte Genevieve, MO 63670 Phone: 573-883-2751 |