Individual
MRS. THERESA LYNN REHG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1400 US HIGHWAY 61 STE 210, FESTUS, MO 63028-4141
(636) 933-8880
(636) 933-8881
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(636) 933-8880
(636) 933-8881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017026643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420048073
—
MO
Enumeration date
08/03/2017
Last updated
10/10/2023
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