Individual
TEROSIA MOORE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4624 LANSDOWNE AVE, SAINT LOUIS, MO 63116-1523
(314) 536-4661
Mailing address
7025 ETZEL AVE, SAINT LOUIS, MO 63130-2458
(314) 536-4661
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2023035135
MO
Other
Enumeration date
08/28/2023
Last updated
03/19/2024
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