Individual
MONICA WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3826
(844) 776-7200
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
146772
MO
363LF0000X
Family Nurse Practitioner
146772
MO
Other
Enumeration date
09/14/2006
Last updated
01/16/2023
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