Individual
MS. IVER JEAN GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4570 CHILDRENS PL, SAINT LOUIS, MO 63110-1020
(314) 747-1207
(314) 454-5392
Mailing address
660 S EUCLID AVE, C B 8051, SAINT LOUIS, MO 63110-1010
(314) 747-1207
(314) 454-5392
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
050431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081332
—
MO
Enumeration date
07/14/2006
Last updated
01/23/2014
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