Individual
MRS. TERESA T DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3844 S LINDBERGH BLVD, STE 216, SAINT LOUIS, MO 63127-1416
(314) 525-0580
(314) 525-0581
Mailing address
PO BOX 7412049, CHICAGO, IL 60674-2049
(314) 525-0580
(314) 525-0581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
124737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429048309
—
MO
Enumeration date
08/04/2008
Last updated
04/17/2025
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