STACIE D DETMER FNP NPI 1235380064

NPI Information

  • NPI: 1235380064
  • Provider Name: STACIE D DETMER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1011 BOWLES AVE STE 450
    FENTON, MO
    ZIP 63026
  • Phone: (314) 467-1500

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NPI Details

Stacie D Detmer, FNP is a family nurse practitioner in Fenton, MO. Stacie D Detmer, FNP NPI is 1235380064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1011 BOWLES AVE STE 450
FENTON, MO
ZIP 63026-562
Phone: (314) 467-1500
Fax: (314) 467-1515

The enumeration date for this NPI number is 10/10/2008 and was last updated on 5/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2005018747MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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