Individual
MRS. PATRICIA ANN FOSTER-STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 830-6230
(314) 830-6258
Mailing address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 830-6230
(314) 830-6258
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
090258
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425834702
—
MO
Enumeration date
05/09/2011
Last updated
05/09/2011
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