Organization
METRO HEART GROUP OF ST. LOUIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYALAKSHMI VELLAICHAMY ARNP (ADULT REGISTER NURSE PRACITIONER)
(314) 842-0602
Entity
Organization
Contact information
Practice address
10012 KENNERLY RD, SUITE 300, SAINT LOUIS, MO 63128-2197
(314) 842-0602
Mailing address
10012 KENNERLY RD, SUITE 300, SAINT LOUIS, MO 63128-2197
(314) 842-0602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2002031628
MO
Other
Enumeration date
06/27/2007
Last updated
11/05/2007
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