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Individual

DR. AUDREY FAULSTICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC

Contact information

Practice address
925 MADISON AVE FRNT, MADISON, IL 62060-1316
(314) 602-7340
Mailing address
4728 LOCKE AVE, SAINT LOUIS, MO 63109-2722
(314) 602-7340

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020154
IL

Other

Enumeration date
09/28/2019
Last updated
11/22/2023
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