Individual
CAROLE ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
11550 OLIVE BLVD, CREVE COEUR, MO 63141-7111
(314) 542-7690
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(314) 434-1500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016010733
MO
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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