Individual
STEPHANIE NICOLE PIOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2002006332
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649420233
—
IL
05
—
1649420233
—
MO
Enumeration date
09/19/2008
Last updated
06/18/2014
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