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Individual

MRS. REBECCA GRATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-5909

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
132334
MO
363LF0000X
Family Nurse Practitioner
Primary
132334
MO
363LF0000X
Family Nurse Practitioner
Primary
2026019779
MO

Other

Enumeration date
03/06/2026
Last updated
05/14/2026
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