Individual
CHASADE MARIE HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 653-5700
Mailing address
24 ROLLING HILLS DR, BLACK JACK, MO 63033-4302
(314) 750-1898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021041612
MO
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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