Individual
MACAELA DAWN VERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1906
Mailing address
9620 CHAMBLIN DR, SAINT LOUIS, MO 63123-6208
(314) 371-8192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1036648
TX
363LF0000X
Family Nurse Practitioner
Primary
2021030137
MO
Other
Enumeration date
12/27/2017
Last updated
04/15/2026
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