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Individual

MAYOLA ROWSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5669 DELMAR BLVD, SAINT LOUIS, MO 63112-2615
(314) 531-1770
(314) 241-1185
Mailing address
415 MULBERRY STREET, EVANSVILLE, IN 47113-1230
(812) 423-7791
(812) 422-7558

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025006273
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000379234
ANTHEM PIN
IN
05
200530560
IN
01
2025006273
PMHNP
MO
05
78015823
KY
Enumeration date
06/09/2006
Last updated
05/07/2025
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