Individual
HEATHER MARIE BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12608 LAMPLIGHTER SQUARE SHPG CTR, SAINT LOUIS, MO 63128-2746
(314) 842-5600
Mailing address
12608 LAMPLIGHTER SQUARE SHPG CTR, SAINT LOUIS, MO 63128-2746
(314) 842-5600
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2019046861
MO
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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