Individual
MS. HEATHER L POROPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4921 PARKVIEW PL, DIV IM GASTROENTEROLOGY, STE 12B, SAINT LOUIS, MO 63110-1032
(314) 747-2066
(314) 362-2357
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-2066
(314) 362-2357
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021043559
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2021043559
MO
Other
Enumeration date
02/07/2022
Last updated
01/23/2026
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