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Individual

LYSSA ATWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 273-0500
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 273-0500

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2026008972
MO
363LA2200X
Adult Health Nurse Practitioner
2026008972
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2026008972
MO
363LG0600X
Gerontology Nurse Practitioner
2026008972
MO

Other

Enumeration date
03/31/2026
Last updated
03/31/2026
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