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NPI Code Detail

MEDICARE: NICOLE SHUERT NP

MEDICARE:   NICOLE  SHUERT  NP
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
1363LW0102XWomen's Health Nurse PractitionerSP007089PA
2363LW0102XWomen's Health Nurse Practitioner2015039569MO
3363LX0001XObstetrics & Gynecology Nurse Practitioner0024169798VA

General Provider Information

NPI Number : 1942532445
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SHUERT NP
Provider Business Mailing Address
First Line : 621 S. NEW BALLAS ROAD
Second Line : SUITE 4017 TOWER B
City : ST. LOUIS
State : MO
Zip : 63141
Country : US
Telephone Number : 314-872-9192
Fax Number :
Provider Business Practice Location Address
First Line : 621 S. NEW BALLAS ROAD
Second Line : SUITE 4017 TOWER B
City : ST. LOUIS
State : MO
Zip : 63141
Country : US
Telephone Number : 314-872-9192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2010
Last Update Date : 01/12/2017

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Directions to “ NICOLE SHUERT NP” Practice Location

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