Stacie D Detmer, FNP

NPI #1235380064 in Fenton, Missouri

Provider Information

NPI Number
1235380064
Entity Type
Individual
Name
Stacie D Detmer, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Oct 10, 2008
Last Updated
May 21, 2019

Practice Location

Address
1011 BOWLES AVE STE 450
City
Fenton
ZIP Code
63026-0562
Phone
(314) 467-1500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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