Individual
IAN RAY PALMEJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3023 N BALLAS RD STE 200D, SAINT LOUIS, MO 63131-2328
(314) 996-7272
(314) 996-6785
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(314) 996-7272
(314) 996-6785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022036415
MO
363LF0000X
Family Nurse Practitioner
F05220729
MO
Other
Enumeration date
08/09/2022
Last updated
03/06/2026
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