Individual
MRS. ANITA DETCHEMENDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
121 SAINT LUKES CENTER DR, SUITE 506, CHESTERFIELD, MO 63017-3518
(314) 576-8102
(314) 590-5930
Mailing address
121 SAINT LUKES CENTER DR, SUITE 506, CHESTERFIELD, MO 63017-3518
(314) 576-8102
(314) 590-5930
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG0216198
MO
Other
Enumeration date
09/12/2016
Last updated
09/19/2016
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