Individual
ALINA MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10004 KENNERLY RD STE 103, SAINT LOUIS, MO 63128-2141
(314) 447-9601
Mailing address
1112 COLLINGWOOD DR, SAINT LOUIS, MO 63132-2412
(314) 753-0476
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2020035584
MO
363LG0600X
Gerontology Nurse Practitioner
2020035584
MO
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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