Individual
EMILY GRACE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
(636) 579-0608
Mailing address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
(636) 579-0608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012021878
MO
Other
Enumeration date
06/12/2016
Last updated
07/15/2024
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