ANITA JANE BLACKWELL

SAINT LOUIS, MO
NPI1790808681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  061036)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  AP133887)
Enumeration Date2007-04-07
Last Update Date2022-09-22
Business Address
Miss ANITA JANE BLACKWELL RNCPNP
4055 LINDELL BLVD
SAINT LOUIS, MO 63108-3201
Phone number: 314-535-7701
Mailing Address
Miss ANITA JANE BLACKWELL RNCPNP
12377 MERIT DR STE 300
DALLAS, TX 75251-3126
Phone number: 972-957-3000