Individual
MS. LAURA M GRAMOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1225 GRAHAM RD, FLORISSANT, MO 63031-8012
(314) 953-6994
Mailing address
62 PATRICE TER, LAKE ST LOUIS, MO 63367-2014
(314) 602-7007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2013019421
MO
363LF0000X
Family Nurse Practitioner
Primary
2013019421
MO
Other
Enumeration date
07/17/2013
Last updated
01/31/2017
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