Individual
SHAKEIRA NEWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 565-0343
(314) 454-4685
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 565-0343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-166460
AL
363LF0000X
Family Nurse Practitioner
Primary
2024028931
MO
Other
Enumeration date
11/20/2021
Last updated
07/24/2024
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