Individual
MIRANDA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 653-5000
Mailing address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F06151472
MO
363LF0000X
Family Nurse Practitioner
Primary
F06151472
MO
Other
Enumeration date
07/31/2015
Last updated
08/12/2020
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