Susan M Gaffney NP

NPI 1720162001 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1720162001
Gender Female
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
621 S NEW BALLAS RD
STE 1017B
SAINT LOUIS MO, 63141-8232, US
Phone (314) 993-6401
Fax (314) 993-5475
Business Location
621 S NEW BALLAS RD
STE 1017B
SAINT LOUIS MO, 63141-8232, US
Phone (314) 993-6401
Fax (314) 993-5475
Toxanomy
Taxonomy Code 363LW0102X
License State Missouri
License Number 074890
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According to our database, Susan M Gaffney NP NPI is 1720162001, taxonomy code is 363LW0102X and license number is 074890, license state is located at Missouri. Susan M Gaffney NP physically located at 621 S New Ballas Rd, Saint Louis MO, 63141-8232. NPI Number Susan M Gaffney NP has the Individual type.

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1720162001 NPI number is provided on an as is basis without warranty of any kind. 1720162001 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M Gaffney NP are for informational purposes only.