Individual
MRS. ELIZABETH SUZANNE ELIOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
621 S NEW BALLAS RD STE 437A, SAINT LOUIS, MO 63141-8259
(314) 251-6344
(314) 251-7929
Mailing address
621 S NEW BALLAS RD STE 437A, SAINT LOUIS, MO 63141-8259
(314) 251-6344
(314) 251-7929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022005983
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420112135
—
MO
Enumeration date
03/22/2022
Last updated
10/08/2024
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