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Individual

MS. CORIE LEIGH HEMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2020035897
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420094659
MO
Enumeration date
11/06/2020
Last updated
09/13/2023
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