Individual
MRS. LAURA HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
15945 CLAYTON RD, SUITE 120, BALLWIN, MO 63011-2490
(636) 256-5000
(636) 256-5042
Mailing address
15945 CLAYTON RD, SUITE 120, BALLWIN, MO 63011-2490
(636) 256-5000
(636) 256-5042
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2005025456
MO
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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