Individual
ANDREA DOERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 STILLBROOK ESTATES DR, FENTON, MO 63026-6505
(314) 913-3117
Mailing address
205 STILLBROOK ESTATES DR, FENTON, MO 63026-6505
(314) 913-3117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2010005889
MO
163WR0006X
Registered Nurse First Assistant
Primary
2010005889
MO
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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