Individual
MEREDITH NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
12255 DE PAUL DR STE 500, BRIDGETON, MO 63044-2515
(314) 209-5180
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017029541
MO
Other
Enumeration date
08/16/2017
Last updated
07/26/2021
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