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NPI Code Detail

MEDICARE: LINDSEY C DUESTERHAUS FNP

MEDICARE:   LINDSEY C DUESTERHAUS  FNP
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
1363LF0000XFamily Nurse Practitioner2006024135MO

General Provider Information

NPI Number : 1063783967
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY C DUESTERHAUS FNP
Provider Business Mailing Address
First Line : 10024 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-1829
Country : US
Telephone Number : 314-919-2500
Fax Number : 314-919-2577
Provider Business Practice Location Address
First Line : 10024 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63126-1829
Country : US
Telephone Number : 314-919-2500
Fax Number : 314-919-2577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2012
Last Update Date : 11/29/2021

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Directions to “ LINDSEY C DUESTERHAUS FNP” Practice Location

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