Individual
MRS. DENISE J MULLANEY-MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, ACNP
Contact information
Practice address
1225 GRAHAM RD, STE 2310C, FLORISSANT, MO 63031-8012
(314) 953-6300
(314) 953-6309
Mailing address
670 MASON RIDGE CENTER DR, STE300, SAINT LOUIS, MO 63141-8573
(314) 953-6300
(314) 953-6309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
172414
MA
363LA2100X
Acute Care Nurse Practitioner
2013012825
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2013012825
MO
Other
Enumeration date
11/30/2005
Last updated
10/06/2014
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