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Contact Information

ADVANCED PRACTICE PROVIDERS
2500 JESSICA CT
HIGH RIDGE, MO63049-3227
 Phone: 314-623-0238
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED PRACTICE PROVIDERS · (Female)

NPI # 1881871432
Status Active
Credentials
Entity Individual
Enumeration date 01/25/2008
Last updated 06/24/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 149967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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