Individual
HEATHER NICOLE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
625 S NEW BALLAS RD, SUITE 2010, SAINT LOUIS, MO 63141-8253
(314) 251-3922
Mailing address
4920 AUTUMN OAKS DR, MARYVILLE, IL 62062-8504
(618) 205-3251
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2001028801
MO
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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