Individual
ABIGAIL SHARAMITARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
(314) 268-6468
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
147504
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147504
MEDICAL LICENSE
MO
Enumeration date
01/29/2008
Last updated
10/29/2020
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