Individual
MRS. ELLEN ROSE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
4116 VON TALGE RD, SAINT LOUIS, MO 63128-1957
(314) 892-8787
(314) 892-8790
Mailing address
4116 VON TALGE RD, SAINT LOUIS, MO 63128-1957
(314) 892-8787
(314) 892-8790
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2010037013
MO
363LA2200X
Adult Health Nurse Practitioner
209008864
IL
363LA2200X
Adult Health Nurse Practitioner
4704387291
MI
363LA2200X
Adult Health Nurse Practitioner
APRN11008768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010001621
ANP-BC
—
Enumeration date
12/12/2010
Last updated
08/11/2022
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