Individual
GINA MARIE INDELICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1001 CHESTERFIELD PKWY E STE 201, CHESTERFIELD, MO 63017-2167
(636) 532-2422
Mailing address
1001 CHESTERFIELD PKWY E STE 201, CHESTERFIELD, MO 63017-2167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014022929
MO
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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