Individual
ERICA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6000
Mailing address
5073 GALENA CT, IMPERIAL, MO 63052-1587
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2021009735
MO
Other
Enumeration date
05/18/2022
Last updated
06/20/2022
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