Jill Maureen Hauler
Individual provider Active NPI Licensed Practical Nurse · Webster Groves, MO
NPI 1962075770 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1962075770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2011011325 (MO)
- Practice address
- 723 S Laclede Station Rd
Webster Groves, MO 63119-4911 - Phone
- (314) 968-5570
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011011325 | MO | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2011011325 | MO | Yes |
Addresses
Primary practice location
723 S Laclede Station Rd
Webster Groves, MO 63119-4911
Mailing address
723 S Laclede Station Rd
Webster Groves, MO 63119-4911
Phone (314) 968-5570
Other providers in Webster Groves, MO
- Kevin Michael Hall
- Brittany Kaniece Hamilton
- Mary Jane Hansen
- Melissa Harris
- Sarah E Harris
- Caroline Witt Hawes
- Michael A Heltzel
- Christina Hemenway
- Andrea Jean Herman
- Regina Hermann
All providers in Webster Groves, MO · Licensed Practical Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.