Individual
MRS. VALSAMMA JAMES THEVARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
915 N GRAND BLVD, ST. LOUIS, MO 63106
(314) 652-4100
Mailing address
6118 TERRI LYNN DR, SAINT LOUIS, MO 63123-1678
(314) 398-5170
(618) 286-5646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124739
MO
207RH0003X
Hematology & Oncology Physician
Primary
2013002091
MO
363LA2100X
Acute Care Nurse Practitioner
2013002091
MO
Other
Enumeration date
10/12/2007
Last updated
08/23/2025
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