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Organization
CARDINAL GLENNON CHILDREN'S HOSPITAL
Active
Organization
CARDINAL GLENNON CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANNON LANEE MILLER RN, MSN, CPNP (PEDIATRIC NURSE PRACTITIONER)
(618) 975-1607
Entity
Organization
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5666
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5666
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
MO151383
MO
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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