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Individual

MS. MARY FRANCES DIGREGORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, APRN, BC, NP-C,

Contact information

Practice address
12255 DE PAUL DR, SUITE 700, BRIDGETON, MO 63044-2510
(314) 739-4166
(314) 739-2485
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 739-4166
(314) 739-2485

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
072754
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
072754
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
427736608
MO
Enumeration date
08/19/2006
Last updated
05/21/2013
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