Individual
SHARONDA A COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 BELLEFONTAINE RD, SAINT LOUIS, MO 63137-1336
(314) 388-0796
Mailing address
5132 N ELSTON AVE, CHICAGO, IL 60630-2429
(847) 235-6130
(847) 941-0577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021021440
MO
363LF0000X
Family Nurse Practitioner
209023715
IL
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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