Individual
STEPHANIE BUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6486
Mailing address
625 S NEW BALLAS RD STE B011, SAINT LOUIS, MO 63141-8240
(314) 251-0175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015039027
MO
Other
Enumeration date
04/29/2016
Last updated
05/23/2022
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