# RIVER SIRENS COLLECTIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598626657
- **Authorized official:** DR. DELENE P. MUSIELAK MD,FACP,FAAP,DABOM (MEDICAL DIRECTOR)
- **Authorized official phone:** (314) 377-2510

## Contact information

- **Practice address:** 209 W 2ND ST, WASHINGTON, MO 63090-2132
- **Practice address phone:** (636) 283-0437
- **Mailing address:** 209 W 2ND ST, WASHINGTON, MO 63090-2132
- **Mailing address phone:** (636) 283-0437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 11/19/2025