Individual
JULIE M KOPPEIS MCTEARNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP,BC
Contact information
Practice address
1105 W LIBERTY ST, SUITE 4050, FARMINGTON, MO 63640-1921
(573) 756-7844
(573) 454-2251
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(573) 756-7844
(573) 454-2251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
153843
MO
Other
Enumeration date
12/22/2005
Last updated
03/14/2016
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