Individual
THERESA TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12266 DE PAUL DR STE 300, BRIDGETON, MO 63044-2562
(143) 291-8824
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021027096
MO
Other
Enumeration date
08/25/2021
Last updated
10/05/2021
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