person
Stacie D Detmer, FNP
Family Nurse Practitioner in Fenton, Missouri
NPI 1235380064

Stacie D Detmer is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Stacie D Detmer practices in Fenton, MO and has the professional credentials of FNP. The NPI Number for Stacie D Detmer is 1235380064 and holds a License No. 2005018747 (Missouri).

The current practice location address for Stacie D Detmer is 1011 Bowles Ave Ste 450, Fenton, MO and can be reached out via phone at 314-467-1500 and via fax at 314-467-1515.

Location: 1011 Bowles Ave Ste 450, Fenton, MO, 63156-3340
person
Provider Profile Details
NPI Number
1235380064
Provider Name
Stacie D Detmer
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1011 Bowles Ave Ste 450, Fenton, MO, 63156-3340
Phone Number
314-467-1500
Fax Number
314-467-1515
Provider Enumeration Date
10/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1011 Bowles Ave Ste 450
City
State
Zip
63026-0562
Phone Number
314-467-1500
Fax Number
314-467-1515
person
Provider Business Mailing Address Details
Address
1011 Bowles Ave Ste 450
City
State
Zip
63026-0562
Phone Number
314-467-1500
Fax Number
314-467-1515
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2005018747 (Missouri)
Definition
Definition to come...
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