Individual
TERI HERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 POTOMAC ST, SAINT LOUIS, MO 63139-1316
(314) 353-8875
Mailing address
228 S FERKEL ST, COLUMBIA, IL 62236-2122
(314) 265-6387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009027357
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HLINK
INSURANCE
MO
Enumeration date
10/05/2021
Last updated
10/06/2021
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