Individual
MS. REIDA GENTRY MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 362-4564
(314) 362-7086
Mailing address
660 S EUCLID AVE, C B 8056, SAINT LOUIS, MO 63110-1010
(314) 362-4564
(314) 362-7086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003026036
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818150183
—
MO
Enumeration date
07/14/2006
Last updated
01/29/2014
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