Individual
STEPHANIE NELLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
621 S NEW BALLAS RD STE 189A, SAINT LOUIS, MO 63141-8255
(314) 251-6335
(314) 251-5864
Mailing address
621 S NEW BALLAS RD STE 189A, SAINT LOUIS, MO 63141-8255
(314) 251-6335
(314) 251-5864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016022548
MO
Other
Enumeration date
08/30/2016
Last updated
11/16/2018
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