Carrie Lee Plisco WHNP

NPI 1104092865 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1104092865
Gender Female
Enumeration Date 05/02/2008
Last Updated 10/26/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
1150 GRAHAM RD
SUITE 111
FLORISSANT MO, 63031-8077, US
Phone (314) 839-4554
Fax (314) 837-0047
Business Location
PO BOX 23340
SAINT LOUIS MO, 63156-3340, US
Phone (314) 839-4554
Fax (314) 837-0047
Toxanomy
Taxonomy Code 363LW0102X
License State Missouri
License Number 1999140477
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According to our database, Carrie Lee Plisco WHNP NPI is 1104092865, taxonomy code is 363LW0102X and license number is 1999140477, license state is located at Missouri. Carrie Lee Plisco WHNP physically located at 1150 Graham Rd, Florissant MO, 63031-8077. NPI Number Carrie Lee Plisco WHNP has the Individual type.

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1104092865 NPI number is provided on an as is basis without warranty of any kind. 1104092865 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie Lee Plisco WHNP are for informational purposes only.