Individual
ELISSA MARIE THONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5233 NEOSHO ST, SAINT LOUIS, MO 63109-2956
(618) 531-5608
Mailing address
5233 NEOSHO ST, SAINT LOUIS, MO 63109-2956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021038731
IL
363L00000X
Nurse Practitioner
Primary
2021038731
MO
363L00000X
Nurse Practitioner
209024212
IL
Other
Enumeration date
10/18/2021
Last updated
08/03/2023
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