Individual
SARA RENEE KOOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
621 S NEW BALLAS RD STE 5003B, SAINT LOUIS, MO 63141-8270
(314) 251-8892
Mailing address
927 MOREHOUSE LN, UNIVERSITY CITY, MO 63130-2157
(314) 341-2443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023005440
MO
Other
Enumeration date
02/28/2023
Last updated
07/13/2023
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