Individual
CECELIA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
606 PRAIRIEGATE CT, LAKE SAINT LOUIS, MO 63367-4362
(636) 541-4607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012024057
MO
363LF0000X
Family Nurse Practitioner
Primary
F03170063
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144714023
—
MO
01
—
2012024057
MISSOURI STATE BOARD OF NURSING
MO
01
—
F03170063
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
MO
Enumeration date
06/14/2018
Last updated
01/30/2024
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