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Individual

RACHEL LOUISE CLOSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
13203 BIG RIVER DR, LAKE ST LOUIS, MO 63367-1983
(573) 639-9219
Mailing address
13203 BIG RIVER DR, LAKE ST LOUIS, MO 63367-1983
(573) 639-9219

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041403271
IL
163W00000X
Registered Nurse
2012016633
MO
363LF0000X
Family Nurse Practitioner
Primary
2021009748
MO

Other

Enumeration date
03/17/2021
Last updated
08/16/2021
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