Individual
THERESA STEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
5571 BARTMER AVE., SAINT LOUIS, MO 63112-3406
(314) 361-6610
(314) 361-7566
Mailing address
5571 BARTMER AVE., SAINT LOUIS, MO 63112-3406
(314) 361-6610
(314) 361-7566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209002738
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203133
BCBS GROUP NUMBER
MO
05
—
914866207
—
MO
01
—
P00427372
RR MEDICARE
—
Enumeration date
12/21/2005
Last updated
06/03/2008
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