| NPI | 1538057088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYLA MAUREEN CURTIS Administrator 314-449-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-08-05 |