Individual
MS. COURTNEY FREESE ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13001 N OUTER 40 RD, STE 310, CHESTERFIELD, MO 63017-5941
(314) 454-6400
(314) 454-6401
Mailing address
PO BOX 7412029, CHICAGO, IL 60674-2029
(314) 454-6400
(314) 454-6401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2013006724
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220039556
—
MO
Enumeration date
05/14/2013
Last updated
04/18/2025
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