Individual
MRS. STEPHANIE LEE ANN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1255 GRAHAM RD, DIV IM MEDICAL ONCOLOGY, STE 101, FLORISSANT, MO 63031-8014
(800) 647-2098
(314) 362-3192
Mailing address
660 S EUCLID AVE, CB 8056, SAINT LOUIS, MO 63110-1010
(800) 647-2098
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2014030073
MO
363LF0000X
Family Nurse Practitioner
Primary
2014030073
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420025134
—
MO
Enumeration date
03/26/2007
Last updated
05/10/2023
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