Individual
MARIA COLLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
11124 PATSY DR, SAINT LOUIS, MO 63123-7027
(314) 660-6624
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024069227
MO
Other
Enumeration date
08/30/2024
Last updated
10/11/2024
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