Individual
JUDITH L HUSTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18800 SCHNUCKS DR STE B, WARRENTON, MO 63383-1121
(636) 456-3414
(636) 456-7238
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2010041395
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128186
RN LICENSE
MO
01
—
2010041395
NP LICENSE
MO
Enumeration date
03/03/2011
Last updated
06/12/2024
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