Individual
MS. VICKI DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-4505
Mailing address
10074 S MARLENE DR, SAINT LOUIS, MO 63123-4018
(314) 631-2696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
057613
MO
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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