Individual
MS. JANET EVE SEVERINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5828 BRIDLEFORD LN, SAINT LOUIS, MO 63129-2201
(314) 487-4905
Mailing address
5828 BRIDLEFORD LN, SAINT LOUIS, MO 63129-2201
(314) 487-4905
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A1108151
MO
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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