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Patricia A. Willette, CRNA

Nurse Anesthetist, Certified Registered in Saint Louis, MO. Individual provider (NPI-1).

NPI number1790775765
StatusActive
Last updated in NPPESNov 25, 2014

Details

NPI
1790775765
Entity type
Individual (NPI-1)
Name
Patricia A. Willette
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2005
Last updated
Nov 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered050035MOYes

Practice location

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Phone 636-386-7222 · Fax 636-200-4036

Mailing address

Po Box 22407
Saint Louis, MO 63126-0407

Phone 636-386-7222 · Fax 636-200-4036

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