Individual
STEPHANIE M NOETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3009 N BALLAS RD, STE 380C, SAINT LOUIS, MO 63131-2322
(314) 996-4192
(314) 996-4195
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-4192
(314) 996-4195
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2016007990
MO
363LF0000X
Family Nurse Practitioner
Primary
2016007990
MO
Other
Enumeration date
09/01/2014
Last updated
05/03/2016
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