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Individual

MRS. EMILY RAE DAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1 CHILDRENS PL, DIV PED HEMATOLOGY AND ONC, SAINT LOUIS, MO 63110-1002
(314) 454-6018
(844) 621-4392
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-6018
(844) 621-4392

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011023081
MO
363LP0200X
Pediatric Nurse Practitioner
2011023081
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420000440
MO
Enumeration date
07/25/2011
Last updated
04/25/2024
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