Individual
ALVERNE ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8605 TARA LN, SAINT LOUIS, MO 63147-1331
(314) 879-6363
(314) 879-6372
Mailing address
5535 DELMAR BLVD, SAINT LOUIS, MO 63112-3005
(314) 879-6300
(314) 879-6372
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
046837
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427748801
—
MO
Enumeration date
05/10/2006
Last updated
04/09/2010
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