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Erica Allen

Nurse Practitioner, Pediatrics in Saint Louis, MO. Individual provider (NPI-1).

NPI number1356088538
StatusActive
Last updated in NPPESJun 20, 2022

Details

NPI
1356088538
Entity type
Individual (NPI-1)
Name
Erica Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
May 18, 2022
Certification date
Jun 20, 2022
Last updated
Jun 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics2021009735MOYes

Practice location

1 Childrens Pl
Saint Louis, MO 63110-1002

Phone 314-454-6000

Mailing address

5073 Galena Ct
Imperial, MO 63052-1587

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