Individual
MS. DENISE M DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4921 PARKVIEW PL, DEPT RADIATION ONCOLOGY, LL, SAINT LOUIS, MO 63110-1032
(314) 747-7236
(314) 747-9557
Mailing address
660 S EUCLID AVE, CB 8224, SAINT LOUIS, MO 63110-1010
(314) 747-7236
(314) 362-7769
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
086611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420890808
—
MO
Enumeration date
08/31/2006
Last updated
11/15/2021
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