Individual
MS. REAGAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AE-C
Contact information
Practice address
1500 S BIG BEND BLVD STE 1S, SAINT LOUIS, MO 63117-2212
(314) 645-2422
(314) 645-2022
Mailing address
1500 S BIG BEND BLVD STE 1S, SAINT LOUIS, MO 63117-2212
(314) 645-2422
(314) 645-2022
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114394145
—
MO
Enumeration date
10/31/2018
Last updated
10/31/2018
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