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Ms. Mandy Elizabeth Bettenhausen, AGNP
Gerontology Nurse Practitioner in Saint Louis, Missouri
NPI 1295254266

Mandy Elizabeth Bettenhausen is a Gerontology Nurse Practitioner based in Saint Louis, MO and is specialized in Gerontology. Mandy Elizabeth Bettenhausen practices in Saint Louis, MO and has the professional credentials of AGNP. The NPI Number for Mandy Elizabeth Bettenhausen is 1295254266 and holds a License No. 2019008105 (Missouri).

The current practice location address for Mandy Elizabeth Bettenhausen is 4901 Forest Park Ave, Saint Louis, MO and can be reached out via phone at 314-362-5298 and via fax at 888-824-2176.

Location: 4901 Forest Park Ave, Saint Louis, MO, 63110-1010
person
Provider Profile Details
NPI Number
1295254266
Provider Name
Mandy Elizabeth Bettenhausen
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
4901 Forest Park Ave, Saint Louis, MO, 63110-1010
Phone Number
314-362-5298
Fax Number
888-824-2176
Provider Enumeration Date
09/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420103116 05 MO
institution
Provider Business Practice Location Address Details
Address
4901 Forest Park Ave
City
State
Zip
63108-1495
Phone Number
314-362-5298
Fax Number
888-824-2176
person
Provider Business Mailing Address Details
Address
4901 Forest Park Ave
City
State
Zip
63108-1495
Phone Number
314-362-5298
Fax Number
888-824-2176
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2019008105 (Missouri)
Definition
Definition to come...
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