Unknown Individual – Family Nurse Practitioner, NPI 1164825634
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1 Childrens Pl
Saint Louis, MO 631101002
Phone: (314) 749-5546
Type: Location
5533 GRESHAM AVE
SAINT LOUIS, MO 631093707
Phone: (314) 650-1516
Type: Mailing
11560 OLIVE BLVD
CREVE COEUR, MO 631417111
Phone: (314) 995-7128
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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