Individual
MRS. SHAYNA LEIGH LARAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12639 OLD TESSON RD, SUITE, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012041255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122950074
PTAN
MO
01
—
P01143937
RAILROAD MEDICARE
—
Enumeration date
03/06/2012
Last updated
07/24/2025
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