Provider Demographics
NPI:1306156450
Name:NEXT STEP PEDIATRICS, L.L.C.
Entity type:Organization
Organization Name:NEXT STEP PEDIATRICS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POEHLMANN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:573-875-2505
Mailing Address - Street 1:1701 E BROADWAY STE 205
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8018
Mailing Address - Country:US
Mailing Address - Phone:573-875-2505
Mailing Address - Fax:573-449-6952
Practice Address - Street 1:1701 E BROADWAY STE 205
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8018
Practice Address - Country:US
Practice Address - Phone:573-875-2505
Practice Address - Fax:573-449-6952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care