MEDICARE: PATRICIA SUE FIRLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2014034361	MO

General Provider Information

NPI Number	:	1326903410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA SUE FIRLE

Provider Business Mailing Address
First Line	:	161 BOULDER DR
Second Line	:
City	:	BONNE TERRE
State	:	MO
Zip	:	63628-3925
Country	:	US
Telephone Number	:	314-808-7963
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 US HIGHWAY 61
Second Line	:
City	:	FESTUS
State	:	MO
Zip	:	63028-4100
Country	:	US
Telephone Number	:	636-933-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ PATRICIA SUE FIRLE ” Practice Location

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