Individual
MRS. ROSA M. PROUHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 JEFFERSON BARRACKS DR BLDG 55, SAINT LOUIS, MO 63125-4181
(314) 652-4100
(314) 894-6614
Mailing address
1 JEFFERSON BARRACKS DR BLDG 55, SAINT LOUIS, MO 63125-4181
(314) 652-4100
(314) 894-6614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041275771
IL
163W00000X
Registered Nurse
075775-21
NH
163W00000X
Registered Nurse
124452
MO
363L00000X
Nurse Practitioner
124452
MO
363L00000X
Nurse Practitioner
209006099
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
075775-23
NH
Other
Enumeration date
12/29/2006
Last updated
12/09/2025
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