Individual
MRS. MARY B ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
107 PIPER HILL DR, SAINT PETERS, MO 63376-1620
(636) 477-8757
(314) 219-6241
Mailing address
107 PIPER HILL DR, SAINT PETERS, MO 63376-1620
(636) 477-8757
(314) 219-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2014010124
MO
363LA2100X
Acute Care Nurse Practitioner
073032
MO
363LA2100X
Acute Care Nurse Practitioner
2014010124
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81828
PROVIDER NUMBER
MO
Enumeration date
06/07/2006
Last updated
05/03/2022
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