| NPI | 1770791220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN MCCLARNEY President 636-677-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 082698) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-12-17 |