Individual
LORI ANNE SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 560A, SAINT LOUIS, MO 63141-8232
(314) 251-6440
(314) 251-4456
Mailing address
621 S NEW BALLAS RD, SUITE 560A, SAINT LOUIS, MO 63141-8232
(314) 251-6440
(314) 251-4456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011006221
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003006816
RN LICENSE
MO
01
—
2011006221
FNP LICENSE
MO
Enumeration date
03/15/2011
Last updated
03/15/2011
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