Individual
MISS DELLA LOUISE ARIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP
Contact information
Practice address
10004 KENNERLY RD, SUITE 330 A, SAINT LOUIS, MO 63128-2141
(314) 543-5963
(314) 525-4323
Mailing address
10004 KENNERLY RD, SUITE 330A, SAINT LOUIS, MO 63128-2141
(314) 543-5963
(314) 525-4323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
063677
MO
363LF0000X
Family Nurse Practitioner
Primary
063677
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13886
ANTHEM BLUE CROSS BLUE SH
MO
01
—
416213
HEALTHLINK
MO
05
—
425358702
—
MO
Enumeration date
10/20/2006
Last updated
01/25/2010
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