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NPI Code Detail

MEDICARE: MARYANN DANIELLE PAPPAS AGACNP

MEDICARE: MARYANN DANIELLE PAPPAS AGACNP
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
1363LA2100XAcute Care Nurse Practitioner2025037502MO

General Provider Information

NPI Number : 1104791706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANN DANIELLE PAPPAS AGACNP
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line : DEPT OF ANESTHESIOLOGY
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 800-862-9980
Fax Number : 314-362-1185
Provider Business Practice Location Address
First Line : 1 BARNES JEWISH HOSPITAL PLZ
Second Line : DEPT OF ANESTHESIOLOGY
City : SAINT LOUIS
State : MO
Zip : 63110-1003
Country : US
Telephone Number : 800-862-9980
Fax Number : 314-362-1185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2025
Last Update Date : 12/16/2025

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