Individual
THERESA SCUDERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3016 DUPONT CIR, JEFFERSON CITY, MO 65109-6198
(573) 634-8142
(573) 634-8275
Mailing address
3016 DUPONT CIR, JEFFERSON CITY, MO 65109-6198
(573) 634-8142
(573) 634-8275
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
099823
MO
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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