Individual
CARRIE LEE PLISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, AGPCNP
Contact information
Practice address
253 DUNN RD, FLORISSANT, MO 63031-7928
(314) 839-4554
(314) 837-0047
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 839-4554
(314) 837-0047
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
2020014169
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
1999140477
MO
Other
Enumeration date
05/02/2008
Last updated
07/06/2020
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