Individual
DANA LOUISE VANDER KOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16100 CHESTERFIELD PKWY W STE 260, CHESTERFIELD, MO 63017-4836
(314) 778-9427
(636) 778-9632
Mailing address
16100 CHESTERFIELD PKWY W STE 260, CHESTERFIELD, MO 63017-4836
(636) 778-9427
(636) 778-9632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016028436
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020041306
MO
Other
Enumeration date
08/16/2016
Last updated
01/12/2023
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