Individual
LATASHA L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 PIPER HILL DR, SAINT PETERS, MO 63376-1651
(314) 477-8757
Mailing address
107 PIPER HILL DR, SAINT PETERS, MO 63376-1651
(402) 770-7562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009022057
MO
Other
Enumeration date
08/03/2009
Last updated
01/08/2016
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