Individual
SUSAN HERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
ONE CITYPLACE DRIVE, SUITE 570, SAINT LOUIS, MO 63141-7067
(314) 514-6000
(866) 497-1239
Mailing address
999 EXECUTIVE PARKWAY DR, SUITE 210, SAINT LOUIS, MO 63141-6336
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NR15225100
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
4182561
NY
Other
Enumeration date
11/15/2013
Last updated
06/02/2020
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