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Deaconess Illinois Specialty Clinic, Inc.
Nurse Practitioner in Saint Louis, Missouri
NPI 1386351849

Deaconess Illinois Specialty Clinic, Inc. is a Nurse Practitioner based in Belfast, MO. Deaconess Illinois Specialty Clinic, Inc. practices in Saint Louis, MO. The NPI Number for Deaconess Illinois Specialty Clinic, Inc. is 1386351849 and holds a License No. (Missouri).

The current practice location address for Deaconess Illinois Specialty Clinic, Inc. is 1028 S Kirkwood Rd, Saint Louis, MO and can be reached out via phone at 314-287-6184 and via fax at 314-394-2253.

Location: 1028 S Kirkwood Rd, Saint Louis, MO, 04915-0620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386351849
Provider Name
Deaconess Illinois Specialty Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
1028 S Kirkwood Rd, Saint Louis, MO, 04915-0620
Phone Number
314-287-6184
Fax Number
314-394-2253
Provider Enumeration Date
11/03/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1028 S Kirkwood Rd
City
Saint Louis
State
Missouri
Zip
63122-7222
Phone Number
314-287-6184
Fax Number
314-394-2253
person
Provider Business Mailing Address Details
Address
1028 S Kirkwood Rd
City
Saint Louis
State
Missouri
Zip
63122-7222
Phone Number
314-287-6184
Fax Number
314-394-2253
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
()
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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