Individual
LAURIE ANN HEAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNP
Contact information
Practice address
8710 MANCHESTER RD, SAINT LOUIS, MO 63144-2724
(314) 961-3570
Mailing address
PO BOX 157, 110 SOUTH 2ND STREET, ELLINGTON, MO 63638-0157
(573) 663-2313
(573) 663-2322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107193
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922295633
—
MO
Enumeration date
09/26/2007
Last updated
08/17/2023
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