Individual
MR. DEVRAN DANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122, SAINT LOUIS, MO 63110-1035
(314) 286-1700
(314) 970-9094
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1700
(314) 970-9094
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025014154
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420163416
—
MO
Enumeration date
04/09/2025
Last updated
10/21/2025
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