Individual
ANDIE MICHELLE DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PARKVIEW PL, SAINT LOUIS, MO 63110-1038
(314) 747-3000
Mailing address
1717 OLIVE ST APT 628, SAINT LOUIS, MO 63103-1781
(423) 987-6280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245579
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
AG05260005
MO
Other
Enumeration date
11/18/2021
Last updated
05/10/2026
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