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Individual

MS. LORETTA JANE COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
1035 BELLEVUE AVE STE 500, SAINT LOUIS, MO 63117-1843
(314) 925-4744
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2010027054
MO

Other

Enumeration date
06/23/2005
Last updated
11/10/2020
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