Individual
MRS. LAURA RENAE SLAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 454-4220
(314) 454-4280
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-6439
(314) 268-2798
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2002016375
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2014042984
MO
Other
Enumeration date
01/28/2015
Last updated
11/04/2020
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