MEDICARE: MS. NANCY S GIAIMO 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
1	363LF0000X	Family Nurse Practitioner	124244	MO

General Provider Information

NPI Number	:	1699719971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY S GIAIMO FNP

Provider Business Mailing Address
First Line	:	6261 RONALD REAGAN DR STE B18
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-2665
Country	:	US
Telephone Number	:	636-561-3021
Fax Number	:

Provider Business Practice Location Address
First Line	:	6261 RONALD REAGAN DR STE B18
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-2665
Country	:	US
Telephone Number	:	636-561-3021
Fax Number	:

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/11/2021

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