Individual
SANDRA A REDHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C, MSN, WHNP
Contact information
Practice address
1000 LAKE SAINT LOUIS BLVD STE 136, LAKE ST LOUIS, MO 63367-2911
(636) 735-3609
Mailing address
926 LOCKSLEY MANOR DR, LAKE SAINT LOUIS, MO 63367-2524
(314) 265-5993
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
120259
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120259
WOMEN'S HEALTH NP LICENSE
MO
Enumeration date
03/02/2007
Last updated
11/14/2024
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