Individual
MRS. CHANDRA M NOWLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
10448 OLD OLIVE STREET RD STE 200, SAINT LOUIS, MO 63141-5927
(314) 597-8887
(314) 447-9559
Mailing address
10448 OLD OLIVE STREET RD STE 200, SAINT LOUIS, MO 63141-5927
(314) 597-8887
(314) 447-9559
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012037996
MO
Other
Enumeration date
11/15/2012
Last updated
10/04/2018
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