Individual
EWA VAIZERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6 JUNGERMANN CIR STE 210, SAINT PETERS, MO 63376-1625
(636) 441-6056
(636) 441-0620
Mailing address
11133 DUNN RD STE 2335, SAINT LOUIS, MO 63136-6165
(314) 653-5007
(314) 455-8001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024029374
MO
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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