Individual
MS. MARY ANN VON FELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2325 DOUGHERTY FERRY RD, SUITE 205, SAINT LOUIS, MO 63122-3356
(314) 966-9888
(314) 966-5957
Mailing address
2325 DOUGHERTY FERRY RD, SUITE 205, SAINT LOUIS, MO 63122-3356
(314) 966-9888
(314) 966-5957
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
117385
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425451101
—
MO
Enumeration date
06/16/2006
Last updated
04/29/2008
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