Individual
TERRI L. NOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
615 N GRAND BLVD, SAINT LOUIS, MO 63103-1008
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2002001741
MO
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/26/2007
Last updated
05/22/2024
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