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Individual

CHRISTINA M SANSONE MERZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
16228 PORT OF NANTUCKET DR, GROVER, MO 63040-1531
(314) 807-0461

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2016011311
MO
363LA2200X
Adult Health Nurse Practitioner
H151446
IA
363LG0600X
Gerontology Nurse Practitioner
2016011311
MO
363LG0600X
Gerontology Nurse Practitioner
H151446
IA

Other

Enumeration date
05/05/2016
Last updated
02/25/2019
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