Individual
WANDA D TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8515
(314) 814-8542
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8515
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
052260
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427757711
—
MO
Enumeration date
04/24/2007
Last updated
03/27/2013
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