Individual
SAMANTHA LOUISE WATTS MARQUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9417 S BROADWAY, SAINT LOUIS, MO 63125-2009
(314) 833-4030
(314) 833-4031
Mailing address
5501 DELMAR BLVD STE B560, SAINT LOUIS, MO 63112-3084
(314) 833-4030
(314) 833-4031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004018468
MO
Other
Enumeration date
04/06/2009
Last updated
01/29/2024
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