Individual
MS. SENADA FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5201 MID AMERICA PLZ, DIV IM RHEUMATOLOGY, STE 2300, SAINT LOUIS, MO 63129-0002
(314) 286-2635
(314) 286-2338
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 286-2635
(314) 286-2338
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2021006337
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420115964
—
MO
Enumeration date
10/05/2021
Last updated
04/25/2024
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