Unknown Individual – Nurse Practitioner, NPI 1497723381
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone: (314) 977-4440
Type: Mailing
3635 VISTA AT GRAND
ST LOUIS, MO 63110
Phone: (314) 577-8750
Fax: (314) 268-5102
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 ·
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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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