Individual
CANDICE GRIEWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2730 S HIGHWAY 94, STE 202, SAINT PETERS, MO 63303-5677
(636) 939-4200
Mailing address
2730 S HIGHWAY 94, STE 202, SAINT PETERS, MO 63303-5677
(636) 939-4200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
128905
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128905
STATE LICENSE
MO
Enumeration date
09/28/2007
Last updated
09/28/2007
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