Individual
MRS. PATRICIA LYNN CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
216 FOX RUN RD, GERALD, MO 63037-2721
(573) 462-0222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2019005427
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2019
Last updated
02/20/2019
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