Individual
CONNIE L PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1055 BOWLES AVE STE 200, FENTON, MO 63026-2308
(636) 496-3900
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
073504
MO
Other
Enumeration date
05/23/2008
Last updated
11/17/2020
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