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Individual

MRS. REBECCA J WHIFFEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1110 HIGHLANDS PLAZA DR E, STE 375, SAINT LOUIS, MO 63110-1392
(314) 367-3113
(314) 454-9382
Mailing address
1110 HIGHLANDS PLAZA DR E, STE 375, SAINT LOUIS, MO 63110-1392
(314) 367-3113
(314) 454-9382

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
098711
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245453836
MO
Enumeration date
04/11/2007
Last updated
06/13/2019
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