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NPI Code Detail

MEDICARE: MS. CONSTANCE STRANQUIST FNP

MEDICARE: MS. CONSTANCE STRANQUIST 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
1363L00000XNurse Practitioner113798MO
2363LF0000XFamily Nurse Practitioner113798MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770509093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CONSTANCE STRANQUIST FNP
Provider Business Mailing Address
First Line : PO BOX 955534
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-5534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2920 HIGHWAY K
Second Line :
City : O FALLON
State : MO
Zip : 63368-7861
Country : US
Telephone Number : 636-696-7038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 10/27/2020

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Directions to “ MS. CONSTANCE STRANQUIST FNP” Practice Location

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