Griesenauer, Stephanie Renee

Griesenauer, Stephanie Renee is an individual health care provider with primary practice located at 8888 Ladue Rd Ste 100, Saint Louis MO 63124-2326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Griesenauer, Stephanie Renee can be contacted via phone (314) 862-4050.

Contact Information

Primary practice address
8888 Ladue Rd Ste 100 Saint Louis MO 63124-2326
Phone: (314) 862-4050
Fax: (314) 862-1141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2014008351 Missouri

Profile Details

NPI number 1730595711
LBN Legal business name Griesenauer, Stephanie Renee
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2014
Last updated Apr 25th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730595711 NPPES
Missouri MEDICAID 420016508

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