Individual
CHIDOCHOMOYO ERNETA ZVIRAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1003 E CHERRY ST, TROY, MO 63379-1503
(636) 528-6755
(636) 528-6965
Mailing address
2 CITYPLACE DR FL 2, SAINT LOUIS, MO 63141-7390
(314) 914-2717
(314) 453-3080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019008103
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019008103
MO
Other
Enumeration date
06/11/2019
Last updated
07/02/2025
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