Individual
TONYA SUE SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5631
Mailing address
207 WILLARD DR, O FALLON, IL 62269-2241
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
154005
MO
Other
Enumeration date
04/27/2007
Last updated
11/12/2020
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