Individual
CHRISTINA LYNN ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
714 GRAVOIS RD, FENTON, MO 63026-7723
(636) 326-6100
Mailing address
714 GRAVOIS RD, FENTON, MO 63026-7723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018041082
MO
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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