Individual
CODY MARIE ECKELKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
621 S NEW BALLAS ROAD, ST LOUIS, MO 63141
(636) 667-3425
Mailing address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 569-6340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018034009
MO
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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