Doctor Name: | ELOISE J. UNGER |
NPI Number: | 1972677730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, WHNP, FNP |
License Number: | 119291 |
Business Practice Address: | 120 W 16th St Mountain Grove, MO - 657111039 |
Business Phone Number: | 4179266111 |
Business Fax Number: | 4179266115 |
Mailing Address: | Po Box 2580, SPRINGFIELD |
State: | MO |
Postal Code: | 658012580 |
Phone Number: | 4178294620 |
Fax Number: | 4178294316 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 119291 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |