TARANEH MARYAM DIVANBEIGI

SAINT LOUIS, MO
NPI1215640768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2022048276)
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
TARANEH MARYAM DIVANBEIGI FNP-C
4921 PARKVIEW PL
SAINT LOUIS, MO 63110-1032
Phone number: 314-454-8134
Mailing Address
TARANEH MARYAM DIVANBEIGI FNP-C
680 MERAMEC STATION RD
VALLEY PARK, MO 63088-1133
Phone number: 314-368-0251