Individual
STEPHANIE RAE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
11125 DUNN RD STE 406, SAINT LOUIS, MO 63136-6132
(314) 653-5484
Mailing address
11125 DUNN RD STE 406, SAINT LOUIS, MO 63136-6132
(314) 653-5484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018003302
MO
Other
Enumeration date
02/02/2018
Last updated
07/06/2021
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