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Individual

STEPHANEE CLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP-BC

Contact information

Practice address
1125 W PEARCE BLVD, WENTZVILLE, MO 63385-1020
(636) 887-2999
Mailing address
1904 W LINDA LN, LONEDELL, MO 63060-1014
(314) 753-9208

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000160156
MO

Other

Enumeration date
04/04/2016
Last updated
04/10/2023
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