Detmer, Stacie D
Detmer, Stacie D is an individual health care provider with primary practice located at 1011 Bowles Ave Ste 450 , Fenton MO 63026-0562. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Detmer, Stacie D can be contacted via phone (314) 467-1500.Contact Information
Primary practice address
1011 Bowles Ave Ste 450
Fenton MO 63026-0562
Phone: (314) 467-1500
Fax: (314) 467-1515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2005018747 | Missouri |
Profile Details
| NPI number | 1235380064 |
|---|---|
| LBN Legal business name | Detmer, Stacie D |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2008 |
| Last updated | May 21st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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