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Individual

MS. JANICE ANN MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
10012 KENNERLY RD, STE 102, SAINT LOUIS, MO 63128-2197
(314) 525-4225
(314) 525-4229
Mailing address
10012 KENNERLY RD, STE 102, SAINT LOUIS, MO 63128-2197
(314) 525-4225
(314) 525-4229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
086640
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156820002
MEDICARE PTAN #
MO
Enumeration date
04/03/2007
Last updated
03/14/2017
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