Individual
SARAH ILONAI TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
4231 UTAH ST, SAINT LOUIS, MO 63116-1819
(636) 359-6959
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2020009004
MO
207Q00000X
Family Medicine Physician
Primary
2024026088
MO
Other
Enumeration date
06/18/2024
Last updated
07/05/2024
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