Organization
APN FIRST ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN CUNNINGHAM APN ACNP (507 PARTNER)
(314) 277-1256
Entity
Organization
Contact information
Practice address
179 SIERRA VILLAGE DRIVE, EUREKA, MO 63025
(314) 277-1256
Mailing address
179 SIERRA VILLAGE DRIVE, EUREKA, MO 63025
(314) 277-1256
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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