Healthcare Provider Details

I. General information

NPI: 1477383438
Provider Name (Legal Business Name): DAWN L SITLER APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEW HOSP PLZ
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

4317 MARYLAND AVE APT 2W
SAINT LOUIS MO
63108-2725
US

V. Phone/Fax

Practice location:
  • Phone: 314-305-7068
  • Fax:
Mailing address:
  • Phone: 314-305-7068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number2021029999
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: