Individual
MS. ANGELA KAY ROETHEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
114 N TAYLOR AVE, SAINT LOUIS, MO 63108-2102
(314) 534-8600
(314) 652-8138
Mailing address
PO BOX 503954, SAINT LOUIS, MO 63150-3954
(314) 534-8600
(314) 652-8138
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012025987
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420014221
—
MO
Enumeration date
02/05/2014
Last updated
05/09/2024
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