Individual
LORETA SHAHINAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13100 MANCHESTER RD STE 70, SAINT LOUIS, MO 63131-1703
(314) 492-2323
(314) 892-4828
Mailing address
12700 SOUTHFORK RD STE 270, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017042156
MO
Other
Enumeration date
12/06/2017
Last updated
05/30/2023
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