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MIDWEST DERMAL SPECIALIST NPI 1689817322


NPI Information

NPI: 1689817322
Provider Name: MIDWEST DERMAL SPECIALIST
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
1423 VILLAS ESTATES DR
FENTON, MO
ZIP 63026
Phone: (314) 954-5568
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MIDWEST DERMAL SPECIALIST is a nursing care in Fenton, MO. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MIDWEST DERMAL SPECIALIST NPI is 1689817322. The provider is registered as an organization entity type.

The provider's business location address is:

1423 VILLAS ESTATES DR
FENTON, MO
ZIP 63026-284
Phone: (314) 954-5568
Fax: (636) 825-9568

The provider's authorized official is Tammie Marie Auer .
The authorized official title is Owner and has the following contact phone number (314) 954-5568.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 4/10/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing Care132832MISSOURIYes

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: 4/28/2024

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