Patricia Williamson Fnp-c Llc

NPI 1295129609 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1295129609
Enumeration Date 03/24/2015
Last Updated 03/24/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RENITA J RENITA
Position CLINICAL DIRECTOR
Phone (314) 436-9300
Fax (314) 802-4477
Practice Location
916 OLIVE ST # 312
SAINT LOUIS MO, 63101-1459, US
Phone (314) 436-9300
Fax (314) 802-4477
Business Location
13035 OLIVE BLVD STE 113
CREVE COEUR MO, 63141-6176, US
Phone (314) 548-6550
Fax (314) 878-4477
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 2012009252
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According to our database, Patricia Williamson Fnp-c Llc NPI is 1295129609, taxonomy code is 363LF0000X and license number is 2012009252, license state is located at Missouri. Patricia Williamson Fnp-c Llc physically located at 916 Olive St # 312, Saint Louis MO, 63101-1459. NPI Number 1033115704 has the healthcare provider type.

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1295129609 NPI number is provided on an as is basis without warranty of any kind. 1295129609 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Williamson Fnp-c Llc are for informational purposes only.